Parasternal Nerve Blocks Youtube Learn how to perform parasternal nerve blocks for pain relief after cardiac surgery. watch the full video and subscribe for more tips and tutorials. The transversus thoracic plane block (ttpb), formerly known as the parasternal plane block, is a newer regional anesthesia technique that provides analgesia to the medial anterior chest wall and may consequently decrease pulmonary morbidity and the need for large dose opioids. its indications include: [1] sternotomy. sternal fractures.
Deep Parasternal Nerve Block Anatomy Visualized With High Frequency The pectoral nerve type 1 (pecs1) block was the first to be described and was followed by the pectoral nerve type 2 (pecs2) block, the serratus anterior plane block and parasternal blocks. these can all be categorised into an anterolateral group of chest wall blocks (table 1). They offer anesthetic and analgesic efficacy, easy of execution and low risk of complications. the newest techniques recently described are the ultrasound parasternal blocks (us psb) which provide analgesia to the antero medial chest wall. in particular, the antero medial chest wall blocks are performed to provide analgesia and anesthesia in. Parasternal blocks should be done by a skilled physician using ultrasound guidance . wilson et al. described ultrasound guided hematoma block for sternal fracture pain management and found it to be effective, but parasternal block is more target specific. using ultrasound guidance, parasternal block is easy to perform and gives pain relief for. Parasternal intercostal nerve block (psi) principally blocks anterior cutaneous intercostal nerves, and is used as an adjuvant for pain management post cardiac surgery. this modality is highly effective in patients experiencing sternal wound pain following cardiac surgery [ 7 – 10 ].
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