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Pecto-Intercostal Fascial Plane Block for Pain Management after Cardiothoracic Surgery
Alan D Kaye1, Christopher A Vuong2, Alison M Hawkins3
1Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, 71103, USA.
Current Pain and Headache Reports
|May 15, 2025
Summary
Pecto-intercostal fascial plane block (PIFB) offers a novel approach to managing cardiac surgery pain. This ultrasound-guided technique may improve analgesia and reduce opioid use compared to traditional methods.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Pain Management
Background:
- Cardiac surgery frequently results in significant postoperative pain.
- Traditional analgesics often lead to increased opioid consumption.
- Regional nerve blocks provide targeted analgesia and can reduce opioid reliance.
Purpose of the Study:
- To review the current literature on the pecto-intercostal fascial plane block (PIFB).
- To explore the anatomy and physiology relevant to PIFB.
- To compare PIFB with other analgesic techniques for cardiac surgery.
Main Methods:
- Ultrasound-guided injection of anesthetic between pectoralis major and external intercostal muscles.
- Literature review and synthesis of existing studies on PIFB.
- Analysis of indications and contraindications for PIFB.
Main Results:
- PIFB is a novel ultrasound-guided analgesic technique.
- Limited literature currently exists on PIFB, necessitating synthesis.
- PIFB targets specific anatomical planes for pain management.
Conclusions:
- PIFB presents a promising novel analgesic technique for cardiac surgery.
- Understanding the anatomy and physiology is crucial for effective PIFB.
- Further research is needed to establish comprehensive indications and contraindications for PIFB.
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