Key result
A bi-level, bilateral ultrasound-guided superficial parasternal intercostal plane block with conscious sedation successfully provided surgical anesthesia for sternal fixation in a patient with a cervical spine fracture.
Why the study?
Does a bi-level, bilateral ultrasound-guided superficial parasternal intercostal plane block provide adequate surgical anesthesia for sternal fixation in a patient with a cervical spine fracture?
Case Report (n=1)
No
Does a bi-level, bilateral ultrasound-guided superficial parasternal intercostal plane block provide adequate surgical anesthesia for sternal fixation in a patient with a cervical spine fracture?
An ultrasound-guided superficial parasternal intercostal plane block with conscious sedation can provide effective surgical anesthesia for sternal fixation, avoiding the risks of general anesthesia in patients with cervical spine fractures.
Hypothesis-generating for parasternal block with sedation in sternal fixation; prospective trials needed before clinical adoption.
We present the use of a bi-level, bilateral ultrasound-guided (US-guided) superficial parasternal intercostal plane block (S-PIP) for main anesthetic method in a 71-year-old patient with a C2 vertebral fracture undergoing repair of a sternal fracture. Conscious sedation was provided using midazolam and a remifentanil infusion. The patient had an uneventful recovery and was discharged from the hospital on the first postoperative day without complications. An US-guided S-PIP should be considered when patients are deemed at high risk for general anesthesia, especially in trauma patients with a cervical spine fracture.
No takes yet. Share an insight, caveat, or question.
Dost et al. (2022) conducted a case report in Sternal fracture and C2 vertebral fracture (n=1). Ultrasound-guided superficial parasternal intercostal plane (S-PIP) block with conscious sedation was evaluated on Successful surgical anesthesia and pain management. A bi-level, bilateral ultrasound-guided superficial parasternal intercostal plane block with conscious sedation successfully provided surgical anesthesia for sternal fixation in a patient with a cervical spine fracture.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: