Ultrasound Guided Transversus Thoracic Plane block, Parasternal block and fascial planes hydrodissection for internal mammary post thoracotomy pain syndrome

European Journal of Pain : EJP
E PiracciniS Maitan

Abstract

Pectoral Nerves Block (PECS) and Serratus Plane Block (SPB) have been used to treat persistent post-surgical pain after breast and thoracic surgery; however, they cannot block the internal mammary region, so a residual pain may occur in that region. Parasternal block (PSB) and Thoracic Transversus Plane Block (TTP) anaesthetize the anterior branches of T2-6 intercostal nerves thus they can provide analgesia to the internal mammary region. We describe a 60-year-old man suffering from right post-thoracotomy pain syndrome with residual pain located in the internal mammary region after a successful treatment with PECS and SPB. We performed a PSB and TTP and hydrodissection of fascial planes with triamcinolone and Ropivacaine. Pain disappeared and the result was maintained 3 months later. This report suggests that PSB and TTP with local anaesthetic and corticosteroid with hydrodissection of fascial planes might be useful to treat a post thoracotomy pain syndrome located in the internal mammary region. The use of Transversus Thoracic Plane and Parasternal Blocks and fascial planes hydrodissection as a novel therapeutic approach to treat a residual post thoracotomy pain syndrome even when already treated with Pectoral Nerves Block and...Continue Reading

References

Aug 1, 1989·Anesthesia and Analgesia·I KissinJ McDanal
May 1, 1960·Journal of Neurology, Neurosurgery, and Psychiatry·R F KIBLER, P W NATHAN
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Oct 13, 1948·Annals of the New York Academy of Sciences·W K LIVINGSTON
Mar 25, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kim WildgaardHenrik Kehlet
Mar 5, 2011·Anesthesia and Analgesia·Kamen V VlassakovIgor Kissin
Jan 18, 2014·Clinical Orthopaedics and Related Research·Francine Mary Netter, Gary E Friedlaender
Mar 15, 2015·European Journal of Pain : EJP·E SalvatM Barrot
Apr 23, 2015·Regional Anesthesia and Pain Medicine·Véronique BrulotteFrançois Girard
Jan 9, 2016·Current Sports Medicine Reports·Shane P Cass
Sep 3, 2016·Pain Practice : the Official Journal of World Institute of Pain·Jennifer A ZoccaAmitabh Gulati
Nov 28, 2017·Pain and Therapy·Diego Fornasari
Dec 23, 2017·Journal of Thoracic Disease·Noriyuki MatsutaniMasafumi Kawamura

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Citations

Jul 31, 2019·BioMed Research International·Satoru FujiiJian Ray Zhou
Jan 16, 2021·Saudi Journal of Anaesthesia·Emanuele PiracciniStefano Maitan
Feb 26, 2021·Revista española de anestesiología y reanimación·M J Dos Santos Rodrigues da SilvaM L C Miranda
Dec 17, 2020·Journal of the Chinese Medical Association : JCMA·Chih-Jen Hung, Yu-Chun Lin
Jun 19, 2021·Revista Española De Anestesiología Y Reanimación·M J Dos Santos Rodrigues da SilvaAna Agrelo
Oct 12, 2021·Minerva anestesiologica·Giuseppe SepolvereLoredana Cristiano
Mar 11, 2019·Journal of Clinical Anesthesia·Hironobu Ueshima
Apr 18, 2019·Journal of Clinical Anesthesia·Emanuele PiracciniStefano Maitan
Mar 14, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Damla YürükHüseyin Alp Alptekin
Jun 10, 2019·Journal of Clinical Anesthesia·Emanuele PiracciniStefano Maitan
Aug 5, 2019·Journal of Clinical Anesthesia·Emanuele PiracciniStefano Maitan

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