Anterior cutaneous nerve block for analgesia in anterior chest trauma: Is the parasternal approach necessary?

Santi Di Pietro, Benedetta Mascia, Giuliano Lo Bianco, Stefano Perlini, Giorgio Antonio Iotti

Research output: Contribution to journalArticle

Abstract

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal ap-proach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Our experience indicates that the PECS II block can provide excellent analgesia in cases involving anterior rib and sternum fractures. Because it is easier to perform and may be safer than other parasternal techniques, the PECS II block should be considered when providing analgesia for traumatic injuries of the anterior thorax.

Original languageEnglish
Pages (from-to)67-70
Number of pages4
JournalClinical and Experimental Emergency Medicine
Volume7
Issue number1
DOIs
Publication statusPublished - Mar 2020

Keywords

  • Anesthesia and analgesia
  • Nerve block
  • Rib fractures
  • Sternum

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

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