• A&A practice · Jan 2023

    Case Reports

    A Modified Approach to a Parasternal Block: A Case Report.

    • Paolo Scimia, Luca Gentili, Mario Tedesco, Pierfrancesco Fusco, and Giuseppe Sepolvere.
    • From the Intensive Care Unit, Department of Anaesthesia, Giuseppe Mazzini Hospital, Teramo, Italy.
    • A A Pract. 2023 Jan 1; 17 (1): e01644e01644.

    AbstractThe parasternal block is an ultrasound-guided interfascial plane block that provides anesthesia of the medial quadrants of the breast. The original approach provided injections in the fascial plane between the pectoral major and external intercostal muscles. We observed that this technique might limit an adequate diffusion of the injectate due to the anatomical convexity of the ribs, which might hinder fascial hydrodissection. We suggest a modified approach by positioning the tip of the needle on the rib dome to reduce the local anesthetic volume and obtain a more homogeneous and longitudinal spread into the target fascial compartment.Copyright © 2023 International Anesthesia Research Society.

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