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Pectoral-intercostal fascial plane block in chronic post-sternotomy pain
Rajendra K Sahoo1, Rajesh Kar1, Roushan Patel1
1Department of Anesthesiology and Pain Management, HealthWorld Hospitals, Durgapur, West Bengal, India.
Abstract:
Persistent poststernotomy pain (PSP) is a well-known entity following cardiac surgery done with midline strenotomy. The severity of pain is usually mild to moderate in the majority of the patients. However, a small percentage of patients develop severe and persistent pain and need aggressive treatment. Our patient, a 63-year-old lady developed chronic severe parasternal pain following coronary artery bypass graft surgery. As multiple medications did not relieve her pain effectively, we did an ultrasound-guided pectoral-intercostal fascial plane block to which she responded with excellent and long-lasting pain relief. This is the first such case report of the use of this novel block technique for treating PSP.
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