Current understanding of the fascial plane blocks for analgesia of the chest wall: Techniques and indications update for 2020

Purpose of review: Thoracic myofascial plane blocks have gained popularity because of their ease of performance and relative safety. This review highlights current research demonstrating the efficacy of these blocks for specific surgical procedures and provides a brief description of how these techniques are performed.

Recent findings: Fascial plane blocks of the thorax and chest wall have been shown to be beneficial in providing perioperative analgesia for a variety of surgical procedures. Studies discussed in this review compare thoracic fascial plane blocks to systemic analgesia alone, contrast these novel methods of pain control to more traditional techniques, such as paravertebral nerve blocks and epidural anesthesia, and attempt to determine, which fascial plane blocks provide optimal postsurgical analgesia.

Summary: Thoracic fascial plane blocks provide the anesthesiologist a number of techniques to address postsurgical pain. The relative ease of performance and safety profile of these blocks make them an appealing option for pain control for many patients undergoing thoracic or chest wall surgery. Further research is needed to not only define additional indications for each of these blocks, but also explore optimal dosing including the use of continuous catheter techniques.

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Work Title Current understanding of the fascial plane blocks for analgesia of the chest wall: Techniques and indications update for 2020
Access
Open Access
Creators
  1. Dennis J. Warfield Jr
  2. Shane Barre
  3. Sanjib Das Adhikary
Keyword
  1. Erector spinae
  2. Pectoralis
  3. Serratus anterior
  4. Transversus thoracis
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Current Opinion in Anesthesiology
Publication Date October 2020
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/ACO.0000000000000909
Deposited March 05, 2024

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Version 1
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  • Created

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Current_understanding_of_the_fascial_plane_blocks_for_analgesia.pdf

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Creator Dennis James Warfield Jr

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Creator Dennis Warfield

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Creator D J Warfield, Jr

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Creator Shane Barre

    March 05, 2024 16:24 by Researcher Metadata Database

  • Added Creator Sanjib D Adhikary

    March 05, 2024 16:24 by Researcher Metadata Database

  • Published

    March 05, 2024 16:24 by Researcher Metadata Database

  • Updated Keyword, Publisher, Description, and 1 more Show Changes

    March 11, 2024 10:01 by avs5190

    Keyword
    • Erector spinae, Pectoralis, Serratus anterior, Transversus thoracis
    Publisher
    • Current Opinion in Anaesthesiology
    • Current Opinion in Anesthesiology
    Description
    • <p>Purpose of review Thoracic myofascial plane blocks have gained popularity because of their ease of performance and relative safety. This review highlights current research demonstrating the efficacy of these blocks for specific surgical procedures and provides a brief description of how these techniques are performed. Recent findings Fascial plane blocks of the thorax and chest wall have been shown to be beneficial in providing perioperative analgesia for a variety of surgical procedures. Studies discussed in this review compare thoracic fascial plane blocks to systemic analgesia alone, contrast these novel methods of pain control to more traditional techniques, such as paravertebral nerve blocks and epidural anesthesia, and attempt to determine, which fascial plane blocks provide optimal postsurgical analgesia. Summary Thoracic fascial plane blocks provide the anesthesiologist a number of techniques to address postsurgical pain. The relative ease of performance and safety profile of these blocks make them an appealing option for pain control for many patients undergoing thoracic or chest wall surgery. Further research is needed to not only define additional indications for each of these blocks, but also explore optimal dosing including the use of continuous catheter techniques. </p>
    • <p>Purpose of review: Thoracic myofascial plane blocks have gained popularity because of their ease of performance and relative safety. This review highlights current research demonstrating the efficacy of these blocks for specific surgical procedures and provides a brief description of how these techniques are performed.
    • Recent findings: Fascial plane blocks of the thorax and chest wall have been shown to be beneficial in providing perioperative analgesia for a variety of surgical procedures. Studies discussed in this review compare thoracic fascial plane blocks to systemic analgesia alone, contrast these novel methods of pain control to more traditional techniques, such as paravertebral nerve blocks and epidural anesthesia, and attempt to determine, which fascial plane blocks provide optimal postsurgical analgesia.
    • Summary: Thoracic fascial plane blocks provide the anesthesiologist a number of techniques to address postsurgical pain. The relative ease of performance and safety profile of these blocks make them an appealing option for pain control for many patients undergoing thoracic or chest wall surgery. Further research is needed to not only define additional indications for each of these blocks, but also explore optimal dosing including the use of continuous catheter techniques. </p>
    Publication Date
    • 2020-10-01
    • 2020-10
  • Deleted Creator Dennis Warfield

    March 11, 2024 10:03 by avs5190

  • Deleted Creator D J Warfield, Jr

    March 11, 2024 10:03 by avs5190

  • Renamed Creator Dennis J. Warfield Jr Show Changes

    March 11, 2024 10:03 by avs5190

    • Dennis James Warfield Jr
    • Dennis J. Warfield Jr
  • Updated Creator Shane Barre

    March 11, 2024 10:03 by avs5190

  • Renamed Creator Sanjib Das Adhikary Show Changes

    March 11, 2024 10:03 by avs5190

    • Sanjib D Adhikary
    • Sanjib Das Adhikary
  • Updated

    April 04, 2024 10:22 by [unknown user]