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Pectointercostal Fascial Block Catheters for Thoracic Injuries: A Case Series

Pectointercostal Fascial Block Catheters for Thoracic Injuries: A Case Series Providing analgesia for patients with anterior rib and sternum fracture has been addressed from various types of modalities. Regional anesthesia via epidurals or peripheral nerve blocks, opiates, and other forms of multimodal pain regimens have been used. However, in the polytraumatic injury patient, positioning for an epidural may be problematic, and a predominantly opiate-based treatment plan may compromise respiratory status. In this case series, we describe the pectointercostal fascial block as another tool to treat patients with anterior rib and sternal fracture with polytraumatic injuries. All 3 of the block’s successes were evident by improvement in the respiratory status of each patient. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A & A Practice Wolters Kluwer Health

Pectointercostal Fascial Block Catheters for Thoracic Injuries: A Case Series

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2018 International Anesthesia Research Society
ISSN
2575-3126
eISSN
2575-3126
DOI
10.1213/XAA.0000000000000821
Publisher site
See Article on Publisher Site

Abstract

Providing analgesia for patients with anterior rib and sternum fracture has been addressed from various types of modalities. Regional anesthesia via epidurals or peripheral nerve blocks, opiates, and other forms of multimodal pain regimens have been used. However, in the polytraumatic injury patient, positioning for an epidural may be problematic, and a predominantly opiate-based treatment plan may compromise respiratory status. In this case series, we describe the pectointercostal fascial block as another tool to treat patients with anterior rib and sternal fracture with polytraumatic injuries. All 3 of the block’s successes were evident by improvement in the respiratory status of each patient.

Journal

A & A Practice – Wolters Kluwer Health

Published: Dec 15, 2018

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