Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report | Zendy

Michael Hsu | Zendy; Sudhakar Kinthala | Zendy; Jordan Huang | Zendy; Neel Kapoor | Zendy; Poovendran Saththasivam | Zendy; Burdett R. Porter | Zendy

Open Access

Pectointercostal fascial plane block for rescue pain management of traumatic sternal fracture following inadequate thoracic epidural block: a case report

Author(s) -

Michael Hsu,

Sudhakar Kinthala,

Jordan Huang,

Neel Kapoor,

Poovendran Saththasivam,

Burdett R. Porter

Publication year - 2022

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

ISSN - 2042-8812

DOI - 10.1093/jscr/rjac073

Subject(s) - medicine , polytrauma , thoracic trauma , sternum , surgery , cardiothoracic surgery , anesthesia , block (permutation group theory) , thoracic wall , epidural block , chest pain , blunt , geometry , mathematics

Adequate pain control after multisystem trauma including the chest wall is essential for improved patient outcomes, especially with sternum and rib fractures. The thoracic epidural is considered the gold standard in pain management of thoracic injury; however, failure or patchy epidural is not uncommon. Pectointercostal fascial plane block (PIFB) is regularly used in cardiac surgery to provide analgesia to the anterior chest wall; however, there are few reports of PIFB being used as a primary block for the management of thoracic injuries. We present a case in which PIFB was used as a rescue block for the successful management of sternal pain following patchy thoracic epidural block in a patient with thoracic polytrauma.

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