A Modified Approach to a Parasternal Block: A Case Report

被引：6

作者：

Scimia, Paolo ^{[1
]}

Gentili, Luca ^{[1
]}

Tedesco, Mario ^{[2
]}

Fusco, Pierfrancesco ^{[3
]}

Sepolvere, Giuseppe ^{[4
]}

机构：

[1] Giuseppe Mazzini Hosp, Dept Anaesthesia, Intens Care Unit, Teramo, Italy

[2] Mater Hosp, Dept Anesthesia, Bari, Italy

[3] S Salvatore Hosp, Dept Anesthesia & Intens Care Unit, Laquila, Italy

[4] San Michele Hosp, Dept Anesthesia & Cardiac Surg Intens Care Unit, Maddaloni, Caserta, Italy

来源：

A & A PRACTICE | 2023年 / 17卷 / 01期

关键词：

ULTRASOUND; ANESTHESIA; WALL;

D O I：

10.1213/XAA.0000000000001644

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The parasternal block is an ultrasound-guided interfascial plane block that provides anesthesia of the medial quadrants of the breast. The original approach provided injections in the fascial plane between the pectoral major and external intercostal muscles. We observed that this technique might limit an adequate diffusion of the injectate due to the anatomical convexity of the ribs, which might hinder fascial hydrodissection. We suggest a modified approach by positioning the tip of the needle on the rib dome to reduce the local anesthetic volume and obtain a more homogeneous and longitudinal spread into the target fascial compartment.

引用

页数：3

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