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Updated: Jan 13, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Parasternal Intercostal Block Catheterization Provides Successful Analgesia and Facilitates Respiratory Recovery in
Rafet O Gorgulu1, Evren Senturk, Yavuz Gurkan
1From the Department of Anesthesiology and Reanimation, Koç University Faculty of Medicine Hospital, Istanbul, Turkey.
Abstract:
Flail chest resulting from multiple rib fractures after cardiopulmonary resuscitation (CPR) can cause pain and respiratory distress. In this case report, we describe the use of bilateral parasternal intercostal block catheters in a patient who was unable to breathe adequately and could not be extubated due to rib fractures after CPR. The patient received analgesia via the parasternal catheter for 11 days and was discharged on the 17th day. This report highlights the importance of successful pain management through continuous analgesia via a continuous parasternal intercostal block catheter, thereby reducing the time to extubation and decreasing respiratory complications.
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Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Pneumothorax-II
Clinical Manifestations:
Cardiac Catheterization II: Right Heart Catheterization
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiac Catheterization III: Left Heart Catheterization