Key result
Pectointercostal fascial plane block was successfully used as a rescue block for the management of sternal pain following an inadequate thoracic epidural block in a patient with thoracic polytrauma.
Why the study?
Does pectointercostal fascial plane block (PIFB) improve pain management in a patient with traumatic sternal fracture following inadequate thoracic epidural block?
Case Report (n=1)
Does pectointercostal fascial plane block (PIFB) improve pain management in a patient with traumatic sternal fracture following inadequate thoracic epidural block?
PIFB may be an effective rescue block for sternal pain management in thoracic trauma when thoracic epidural block is inadequate.
PIFB may offer rescue analgesia after epidural failure in chest trauma; leaves open its role as primary block pending controlled trials.
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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Hsu et al. (2022) conducted a case report in Traumatic sternal fracture and thoracic polytrauma (n=1). Pectointercostal fascial plane block (PIFB) was evaluated on Management of sternal pain. Pectointercostal fascial plane block was successfully used as a rescue block for the management of sternal pain following an inadequate thoracic epidural block in a patient with thoracic polytrauma.
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