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[Ultrasound guided thoracic wall blocks].

Sami Kaan Coşarcan1, Mete Manici2, Hadi Ufuk Yörükoğlu3

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Agri : Agri (Algoloji) Dernegi'Nin Yayin Organidir = the Journal of the Turkish Society of Algology
|October 21, 2021
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Interfascial plane blocks, including pectoral, serratus anterior, erector spinae, and rhomboid blocks, are increasingly used for thoracic surgery analgesia. While not providing surgical anesthesia, these ultrasound-guided regional anesthesia techniques offer significant pain relief.

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Regional Anesthesia

Background:

  • Epidural anesthesia and thoracic paravertebral blocks have historically dominated thoracic surgery regional anesthesia.
  • The advent of ultrasound guidance has facilitated the development of novel interfascial plane blocks.
  • These newer techniques are emerging as important adjuncts in pain management.

Purpose of the Study:

  • To review the role and application of interfascial plane blocks in thoracic surgery.
  • To highlight commonly utilized interfascial plane blocks for postoperative analgesia.
  • To discuss the clinical significance of these blocks in multimodal pain management strategies.

Main Methods:

  • Literature review of interfascial plane blocks relevant to thoracic surgery.
  • Focus on ultrasound-guided techniques.
  • Discussion of pectoral, serratus anterior plane, erector spinae plane, and rhomboid blocks.

Main Results:

  • Interfascial plane blocks, while generally insufficient for surgical anesthesia, provide clinically significant analgesia.
  • These blocks contribute effectively to multimodal pain management protocols.
  • Ultrasound guidance enhances the precision and safety of these regional anesthesia techniques.

Conclusions:

  • Interfascial plane blocks represent a valuable addition to the regional anesthesia armamentarium for thoracic surgery.
  • Their primary role is in providing effective postoperative analgesia, complementing other anesthetic modalities.
  • Continued research and adoption of these ultrasound-guided techniques are recommended for optimizing patient recovery.