• Satoru Fujii, Ranjana Bairagi, Matthew Roche, and Jian Ray Zhou.
• Department of Anesthesia & Perioperative Medicine, London Health Sciences Centre, Western University, 339 Windermere Rd, London, ON, Canada N6A 5A5.
• Biomed Res Int. 2019 Jan 1; 2019: 1716365.

AbstractThe transversus thoracis muscle plane block (TTP) block is a newly developed regional anesthesia technique which provides analgesia to the anterior chest wall. Since its introduction, this technique has been utilized for a wide range of surgical procedures as well as nonsurgical indications. Current evidence suggests that the TTP block provides effective analgesia for breast and cardiac surgeries, cardiac device implantation, pericardiocentesis, and acute and chronic pain management. To date, no major complications have been reported. Currently there is an urgent need to standardize the nomenclature of this technique to facilitate accurate communication amongst care providers, researchers, and authors. In this review, we describe the TTP block technique, review the indications and available evidence in clinical practice, and discuss alternative blocks and future prospects.

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