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Pectoral-intercostal fascial plane block in chronic post-sternotomy pain


1 Department of Anesthesiology and Pain Management, HealthWorld Hospitals, Durgapur, West Bengal, India
2 Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Institute, Hyderabad, Telangana, India

Correspondence Address:
Rajendra K Sahoo
Department of Anesthesiology and Pain Management, C-49, Commercial Area, Gandhi More, HealthWorld Hospitals, Durgapur, West Bengal - 713 216
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_62_20

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Year : 2022  |  Volume : 25  |  Issue : 1  |  Page : 97-99

 

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Persistent poststernotomy pain (PSP) is a well-known entity following cardiac surgery done with midline strenotomy. The severity of pain is usually mild to moderate in the majority of the patients. However, a small percentage of patients develop severe and persistent pain and need aggressive treatment. Our patient, a 63-year-old lady developed chronic severe parasternal pain following coronary artery bypass graft surgery. As multiple medications did not relieve her pain effectively, we did an ultrasound-guided pectoral-intercostal fascial plane block to which she responded with excellent and long-lasting pain relief. This is the first such case report of the use of this novel block technique for treating PSP.






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1 Department of Anesthesiology and Pain Management, HealthWorld Hospitals, Durgapur, West Bengal, India
2 Department of Anesthesiology and Pain Management, Basavatarakam Indo-American Cancer Institute, Hyderabad, Telangana, India

Correspondence Address:
Rajendra K Sahoo
Department of Anesthesiology and Pain Management, C-49, Commercial Area, Gandhi More, HealthWorld Hospitals, Durgapur, West Bengal - 713 216
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_62_20

Rights and Permissions

Persistent poststernotomy pain (PSP) is a well-known entity following cardiac surgery done with midline strenotomy. The severity of pain is usually mild to moderate in the majority of the patients. However, a small percentage of patients develop severe and persistent pain and need aggressive treatment. Our patient, a 63-year-old lady developed chronic severe parasternal pain following coronary artery bypass graft surgery. As multiple medications did not relieve her pain effectively, we did an ultrasound-guided pectoral-intercostal fascial plane block to which she responded with excellent and long-lasting pain relief. This is the first such case report of the use of this novel block technique for treating PSP.






[FULL TEXT] [PDF]*


        
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