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Pectointercostal Fascial Block Catheters for Thoracic Injuries

A Case Series

Burns, Landon T., MD*; Beasley, Drew A., MD; Stevens, Mark A., MD; Crabtree, Donald E., DO; Mehaffey, Gregory R., MD

doi: 10.1213/XAA.0000000000000821
Case Reports

Providing analgesia for patients with anterior rib and sternum fracture has been addressed from various types of modalities. Regional anesthesia via epidurals or peripheral nerve blocks, opiates, and other forms of multimodal pain regimens have been used. However, in the polytraumatic injury patient, positioning for an epidural may be problematic, and a predominantly opiate-based treatment plan may compromise respiratory status. In this case series, we describe the pectointercostal fascial block as another tool to treat patients with anterior rib and sternal fracture with polytraumatic injuries. All 3 of the block’s successes were evident by improvement in the respiratory status of each patient.

From the *Emory University, Atlanta, Georgia

Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Accepted for publication May 8, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Landon T. Burns, MD, Emory University, 1364 Clifton Rd, Atlanta, GA 30322. Address e-mail to

© 2018 International Anesthesia Research Society
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