Pecto-Intercostal Fascial Plane Block for Pain Management after Cardiothoracic Surgery.

IF 3.2 2区医学 Q2 CLINICAL NEUROLOGY

Current Pain and Headache Reports Pub Date : 2025-05-15 DOI:10.1007/s11916-025-01398-9

Alan D Kaye, Christopher A Vuong, Alison M Hawkins, Macie A Serio, Drew R Dethloff, Alex V Hollander, Shahab Ahmadzadeh, Kimberly L Skidmore, Zachary R Palowsky, Sahar Shekoohi

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引用次数: 0

Abstract

Purpose of review: Cardiac surgery is associated with significant postoperative pain. Compared to traditional analgesics, regional nerve blocks target specific anatomical areas to improve analgesia and to reduce postoperative opioid consumption.

Recent findings: Pecto-intercostal fascial plane block (PIFB) is a novel analgesic technique that involves ultrasound-guided injection of anesthetic between pectoralis major and external intercostal muscles. Since PIFB is a relatively underexplored method of analgesia, to date, few manuscripts have reviewed and synthesized current literature related to PIFB.

Conclusion: The present investigation focuses on relevant anatomy and physiology behind the PIFB, compares this novel technique with other traditional and novel methods of analgesia, and describes indications and contraindications for PIFB in cardiac surgery and other surgeries.

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胸外科手术后胸肋间筋膜平面阻滞治疗疼痛。

回顾的目的：心脏手术与明显的术后疼痛相关。与传统镇痛药相比，局部神经阻滞可靶向特定解剖区域，以改善镇痛效果并减少术后阿片类药物的消耗。最近发现：胸肋间筋膜平面阻滞（PIFB）是一种新型的镇痛技术，涉及超声引导下在胸大肌和外肋间肌之间注射麻醉剂。由于PIFB是一种相对未被充分探索的镇痛方法，迄今为止，很少有文章回顾和综合了与PIFB相关的现有文献。结论：本研究重点探讨了PIFB的相关解剖学和生理学原理，并将其与其他传统和新型镇痛方法进行了比较，描述了PIFB在心脏手术和其他手术中的适应症和禁忌症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.