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Journal articles on the topic 'Fascial plane block'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Wang, Yun. "Understanding the Anatomy of Retroperitoneal Interfascial Space: Implications for Regional Anesthesia." Pain Physician Journal 27, no. 5 (2024): E567—E577. https://doi.org/10.36076/ppj.2024.7.e567.

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BACKGROUND: Fascial plane block techniques have evolved considerably in recent years. Unlike the conventional peripheral nerve block methods, the fascial plane block’s effect can be predicted based on fascial anatomy and does not require a clear vision of the target nerves. The anatomy of the retroperitoneal interfascial space is complex, since it comprises multiple compartments, including the transversalis fascia (TF), the retroperitoneal fasciae (RF), and the peritoneum. For this reason, an in-depth, accurate understanding of the retroperitoneal interfascial space’s anatomical characteristic

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2

Tulgar, Serkan, Bahadir Ciftci, Ali Ahiskalioglu, et al. "Recto-intercostal fascial plane block: Another novel fascial plane block." Journal of Clinical Anesthesia 89 (October 2023): 111163. http://dx.doi.org/10.1016/j.jclinane.2023.111163.

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3

Pirri, Carmelo, Debora Emanuela Torre, Astrid Ursula Behr, et al. "Ultrasound-Guided Analgesia in Cardiac and Breast Surgeries: A Cadaveric Comparison of SPIP Block with Single and Double Injections vs. DPIP Block." Life 15, no. 1 (2024): 42. https://doi.org/10.3390/life15010042.

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The evolution of regional anesthesia techniques has markedly influenced the management of postoperative pain, particularly in thoracic surgery. As part of a multimodal analgesic approach, fascial plane blocks have gained prominence due to their efficacy in providing targeted analgesia with minimal systemic side effects. Among these, the superficial intercostal plane (SPIP) block and deep parasternal intercostal plane (DPIP) block are of notable interest. The aim of this study was to investigate the dye spread to the anterior chest wall space and its spread pathway through anatomical morphometr

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4

Abhijit, S. Nair. "Local Anaesthetic Myotoxicity Due to Fascial Plane Blocks: A Brief Review." Global Journal of Anesthesiology 4, no. 1 (2017): 001–3. https://doi.org/10.17352/2455-3476.000028.

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Fascial plane blocks have become quite popular in the present practice of regional anaesthesia. Transverses abdominal plane (TAP) block, quadratus lumborum (QL), serratus anterior plane (SAP) block, pectoralis block (PECS 1/ 2), rectus sheath and adductor canal block are quite easy to perform with ultrasonographic (USG) guidance. The anaesthesiologist identifies the muscles and the relevant fascial plane to inject the local anaesthetic (LA) in the desired plane under USG guidance. Current prospective and observational studies have shown that these are quite effective as a single injection and

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Karapinar, Yunus Emre, Ela Nur Medetoglu Koksal, Veysel Koksal, et al. "A comprehensive retrospective analysis of interfascial plane blocks and peripheral nerve blocks at a tertiary research hospital: Single center experience." Challenge Journal of Perioperative Medicine 2, no. 1 (2024): 16. http://dx.doi.org/10.20528/cjpm.2024.01.004.

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Aim: This study aimed to analyze regional anesthesia practices at a tertiary research hospital as a single center during a one-year period (January 2022 to January 2023).Materials: Data on over 2,000 nerve blocks were retrospectively reviewed, including: type of nerve block performed (peripheral nerve vs. fascial plane, location of block (upper vs. lower extremity), purpose of block (anesthesia or analgesia) and outcomes.Method: Data was analyzed to assess trends in block utilization, identify preferred block types and locations, and compare the use of peripheral nerve blocks versus fascial pl

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Pangasa, Neha, and Anjolie Chhabra. "Thoracic Wall Blocks for Thoracic Surgery." International Journal of Regional Anaesthesia 4, no. 2 (2023): 1–8. http://dx.doi.org/10.13107/ijra.2023.v04i02.075.

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Thoracic epidural, paravertebral block and intercostal nerve block were the conventional methods of providing analgesia for thoracic surgery, about a decade ago. In the modern era with the advent of ultrasound guided regional anesthesia, the fascial plane blocks came as a boon to anesthesiologists. These blocks are safer, as the needle tip remains distant from the pleura and they are technically easier to perform. We have described in brief the various techniques for thoracic wall analgesia with special emphasis to fascial plane blocks, along with the current evidence for each block. Keywords:

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7

Chin, Ki Jinn, Barbara Versyck, Hesham Elsharkawy, Maria Fernanda Rojas Gomez, Xavier Sala-Blanch, and Miguel A. Reina. "Anatomical basis of fascial plane blocks." Regional Anesthesia & Pain Medicine 46, no. 7 (2021): 581–99. http://dx.doi.org/10.1136/rapm-2021-102506.

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Fascial plane blocks (FPBs) are regional anesthesia techniques in which the space (“plane”) between two discrete fascial layers is the target of needle insertion and injection. Analgesia is primarily achieved by local anesthetic spread to nerves traveling within this plane and adjacent tissues. This narrative review discusses key fundamental anatomical concepts relevant to FPBs, with a focus on blocks of the torso. Fascia, in this context, refers to any sheet of connective tissue that encloses or separates muscles and internal organs. The basic composition of fascia is a latticework of collage

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8

Olkaba, Helen, and Edward R. Mariano. "New Fascial Plane Block Codes." ASA Monitor 88, no. 12 (2024): 31. http://dx.doi.org/10.1097/01.asm.0001095356.49406.96.

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9

Hamilton, Duncan Lee, Baskar P. Manickam, Matthew A. J. Wilson, and Eiman Abdel Meguid. "External oblique fascial plane block." Regional Anesthesia & Pain Medicine 44, no. 4 (2019): 528–29. http://dx.doi.org/10.1136/rapm-2018-100256.

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10

Yadav, Archana, Ram Prasad Sharma, Kiran Thapa Magar, and Abinash Dhoj Joshi. "Ultrasound-Guided Clavipectoral Fascial Plane Block for Clavicle Surgery: A Case Report." Nepal Medical Journal 6, no. 1 (2022): 57–59. http://dx.doi.org/10.37080/nmj.161.

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The clavicle is a frequently fractured bone. Regional anesthesia for clavicle surgeries is always challenging due to its complex innervation arising from the two plexuses (cervical and brachial). The clavipectoral fascial plane block (CPB) is a novel, procedure-specific, phrenic-sparing, and motor-sparing RA technique that can provide anesthesia or analgesia for clavicle surgeries. The clavipectoral fascial plane block was introduced by Dr. Luis Valdes in a symposium at the 2017 European Society of Regional Anesthesia and Pain Therapy Congress. We performed an ultrasound-guided Clavipectoral p

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11

Yeoh, Shang-Ru, Yen Chou, Shun-Ming Chan, Jin-De Hou, and Jui-An Lin. "Pericapsular Nerve Group Block and Iliopsoas Plane Block: A Scoping Review of Quadriceps Weakness after Two Proclaimed Motor-Sparing Hip Blocks." Healthcare 10, no. 8 (2022): 1565. http://dx.doi.org/10.3390/healthcare10081565.

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Iliopsoas plane (IP) is a fascial plane deep to the iliopsoas complex that can serve as a potential space for the injection of local anesthetics to selectively block the articular branches of femoral nerve and accessory obturator nerve to the anterior hip capsule. Two highly similar ultrasound-guided interfascial plane blocks that target the IP, pericapsular nerve group (PENG) block and iliopsoas plane block (IPB), were both designed to achieve motor-sparing sensory block to the anterior hip capsule. However, the most recent evidence shows that PENG block can cause 25% or more of quadriceps we

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12

Abraham, Riya Sarah, Rahul Pillai, Cherian Noble E, Sajan Philip George, Anil Thomas Oommen, and Charles Aby S. "An Anatomical and Clinical Proof of Concept of a Novel Gastrosoleus Interfascial Plane Block and Comparison with the iPACK Block for Posterior Knee Pain Following Knee Replacement Surgeries: A Cadaveric Demonstration and Pilot Study." Journal of Anesthesia and Clinical Research 14, no. 6 (2023): 7. https://doi.org/10.35248/2155-6148.23.14.1122.

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Introduction: Analgesia following knee replacements has been evolving, with peripheral nerve blocks gaining precedence over central neuraxial techniques. Good surgical outcomes rely on early rehabilitation, necessitating the need for good pain relief without motor blockade. Current evidence supports regional analgesia with an adductor canal catheter, in conjunction with an iPACK block (infiltration between popliteal artery and the capsule of knee joint). Methodology: We describe a fascial plane block between the medial head of gastrocnemius and the soleus muscles in the leg. Anatomic continuit

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Ciftci, Bahadir, Burak Omur, Selcuk Alver, Ayse Nurmen Akin, Yahya Yildiz, and Serkan Tulgar. "The Medipol Combination: Novel Rectointercostal Fascial Plane Block and Pectointercostal Fascial Plane Block for Postoperative Analgesia Management After Cardiac Surgery: A Report of 15 Cases." A&A Practice 18, no. 6 (2024): e01794. http://dx.doi.org/10.1213/xaa.0000000000001794.

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The parasternal blocks cannot cover the T7 and lower anterior and lateral branches of the thoracoabdominal nerves. In the open heart surgeries, chest drainage tubes are generally outside the target of the parasternal blocks. Recently, Tulgar et al described a novel interfascial plane block technique named “recto-intercostal fascial plane block” (RIFPB). RIFPB is performed between the rectus abdominis muscle and the sixth to seventh costal cartilages. RIFPB targets the anterior and lateral cutaneous branches of the T6–T9 thoracoabdominal nerves. In this clinical report, we want to share our exp

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14

Kadam, Vasanth Rao, Roelof M. Van Wijk, Guy L. Ludbrook, and Venkatesan Thiruvenkatarajan. "Anatomical and ultrasound description of two transmuscular quadratus lumborum block approaches at L2 level and their application in abdominal surgery." Anaesthesia and Intensive Care 47, no. 2 (2019): 141–45. http://dx.doi.org/10.1177/0310057x19839931.

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The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique paramedian approach at the L2 level in the sitting position. We describe a TQL block at the same level in the lateral position using a transverse posterolateral approach to provide analgesia for patients undergoing abdominal surgery. We elaborate on these two approaches of TQL block at the L2 level, in

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15

Zengin, Emine Nilgün, and Nevriye Salman. "Analgesic effects of thoracic fascial plane blocks in postoperative pain management following cardiac surgery with sternotomy: a retrospective study." Anatolian Current Medical Journal 6, no. 2 (2024): 127–32. http://dx.doi.org/10.38053/acmj.1421102.

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Aims: Acute poststernotomy pain is very severe and causes adverse hemodynamic disturbances. Various thoracic fascial plane blocks are used in the management of this pain. This study aimed to compare the analgesic effects of conventional analgesic methods and thoracic fascial plane blocks in the treatment of post-sternotomy pain. Methods: Patients aged over than 18 years and with American Society of Anesthesiologists (ASA) physical status I-II-III who underwent elective cardiac surgery with sternotomy in 2022-2023 were included in this retrospective study. Patient records were categorized

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16

Fusco, Pierfrancesco, Emanuele Nazzarro, Andrea Sanapo, and Gian Marco Petroni. "Pectoserratus Plane Block in Breast Surgery: Analgesic Doses of Local Anesthetics Can Be Used for Surgical Anesthesia—A Case Report." A&A Practice 19, no. 7 (2025): e01999. https://doi.org/10.1213/xaa.0000000000001999.

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Based on our experience, the local anesthetic concentrations used to date in fascial plane blocks may be excessively high. Local anesthetic concentrations previously considered only analgesic (eg, ropivacaine 0.3%) could now be considered anesthetic concentrations with the addition of the right adjuvants and with the correct execution of fascial plane blocks. In this article, we present the case of a frail woman, who underwent awake surgery for unilateral breast cancer, thanks to ultrasound-guided pectoserratus plane block, with ropivacaine 0.3% and the addition of dexamethasone and dexmedetom

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17

Rosales, Aileen Lagmay, and Noel Singson Aypa. "Clavipectoral plane block as a sole anesthetic technique for clavicle surgery - A case report -." Anesthesia and Pain Medicine 17, no. 1 (2022): 93–97. http://dx.doi.org/10.17085/apm.21085.

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Background: The clavipectoral fascial plane block was introduced by Dr. Luis Valdes in a symposium at the 2017 European Society of Regional Anesthesia and Pain Therapy Congress. Case: Clavipectoral plane block (CPB) with intravenous sedation provided surgical anesthesia and analgesia in a 39-year-old male patient with a right midshaft clavicle fracture. This in-plane technique was used to deposit 30 ml of a local anesthesia mixture between the clavipectoral fascia and periosteum on both the medial and lateral sides of the fracture line. Conclusions: Excellent anesthesia and analgesia for up to

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18

Wahba, Nadine N. E., Sherif A. Omar, Said M. El Medany, and Mohamed Gomaa. "External oblique intercostal plane block versus subcostal transversus abdominis plane block in paediatric upper abdominal oncological surgeries." Research and Opinion in Anesthesia & Intensive Care 12, no. 2 (2025): 166–73. https://doi.org/10.4103/roaic.roaic_57_24.

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Background Regional blocks are increasingly used in paediatric anesthesia for effective perioperative analgesia, improving pain control and patient outcomes. Interfacial plane blocks are part of peripheral nerve blocks, offering low complication rates and enhancing multimodal analgesia for abdominal surgeries, reducing opioid use and aiding early recovery. Regional anaesthesia, especially in upper abdominal incisions, has significantly improved postoperative pain management in children, aiding in respiratory function and overall recovery. The advent of ultrasound guidance has further optimized

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Diwan, Sandeep, Georg Feigl, and Shivaprakash S. "Supra-inguinal Fascia Iliaca Block and the Obturator Nerve Obsession." International Journal of Regional Anaesthesia 4, no. 2 (2023): 27–28. http://dx.doi.org/10.13107/ijra.2023.v04i02.080.

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To the Editor, Anatomic block efficacy of lumbar plexus elements is based upon the involvement of the obturator nerve. However, despite the anatomic location of the obturator nerve and improbable translocation of local anesthetic beyond the confinement of the fascia iliacus plane [1], investigators struggle to study extensively, exhaustively, and try to explicitly describe the means and mechanism to block the obturator nerve [2]. Our anatomical dissections reveal three important dissimilar fascial planes (figure 1a). The quadratus lumborum, the fascia iliaca, and the circum-psoas planes are is

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20

Byrne, Kelly, and Trent Cutts. "Fascial Plane Blocks: The Rise of the “Good- Enough” Block." Journal of Cardiothoracic and Vascular Anesthesia 34, no. 11 (2020): 3004–5. http://dx.doi.org/10.1053/j.jvca.2020.07.068.

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Purnomo, Heri Dwi, and Risnu Witjaksana. "Surface Anatomy-Based Clavipectoral Fascia Plane Block for Clavicle Surgery." Indonesian Journal of Anesthesiology and Reanimation 7, no. 1 (2025): 30–34. https://doi.org/10.20473/ijar.v7i12025.30-34.

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Introduction: Clavicular fractures are often observed cases. In the majority of clavicle fractures, both in adults and children, the fracture is located in the midshaft. Generally, General Anesthesia techniques are usd in such instances, as regional anesthesia through peripheral nerve block often presents its own challenges. The clavipectoral fascial plane block was first introduced in 2017. Apart from its ease of implementation, the Surface Anatomy-Based Clavipectoral Plane Block can avoid the risks associated with other regional anesthesia techniques such as Plexus Brachialis Block or Inters

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Sanapo, Andrea, Gian Marco Petroni, Francesca De Sanctis, and Pierfrancesco Fusco. "Sacral erector spinae plane block for chronic pain: Fascial plane block or more?" Indian Journal of Anaesthesia 69, no. 3 (2025): 322–24. https://doi.org/10.4103/ija.ija_1013_24.

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Sayed, Amr Gaber, Walaa Adel Abdelmoez, Omar Mohamed Ali, and Ahmed Elsayed Elshafeey. "Clavipectoral fascial plane block versus superficial cervical plexus block for fracture clavicle surgery: a randomized clinical trial." Anaesthesia, Pain & Intensive Care 28, no. 5 (2024): 945–50. http://dx.doi.org/10.35975/apic.v28i5.2573.

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Background & objective: Both, the clavipectoral fascial plane block as well as superficial cervical plane block have been utilized as a regional anesthesia technique for clavicular fracture surgery. We compared the efficacy and safety of clavipectoral plane block with superficial cervical plexus block for intraoperative and postoperative pain relief in clavicular fracture surgery under general anesthesia (GA). Methodology: This double-blinded randomized controlled trial included 84 patients, aged between 21 and 60 y, ASA classification I and II, with fracture clavicle, either isolated or p

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Sukmono, Raden Besthadi. "Interfascial Plane Blocks: Chasing The Unseen." Majalah Anestesia & Critical Care 38, no. 3 (2020): 151–54. http://dx.doi.org/10.55497/majanestcricar.v38i3.210.

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Ultrasound has revolutionized anesthesia practice towards a better and safer technique. Regional anesthesia and pain medicine is one of the fields in anesthesiology that ultrasound has changed in so many ways. One of the main goals of regional anesthesia is to provide analgesia and immobility of certain parts of our body. In the early days of regional anesthesia, local anesthetics (LA) were injected blindly through a needle towards the biggest nerve responsible for innervating the surgical field. As technology advances, especially in image quality department, identification of deeper and small

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Turchin, Radu, Gheorghe Guzun, Ruslan Baltaga, Andrei Badan, and Andrei Perciun. "Topographic Peculiarities of Interfascial Spaces in the Thoraco-Abdominal Region. Implications in Loco-Regional Anesthesia." Timisoara Medical Journal 2024, no. 3 (2024): 1. https://doi.org/10.35995/tmj20240216.

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Aim of the study. The objective is to study cellular spaces, as compartments lined with lax connective tissue, bounded by fascia, muscle, bone and other anatomical structures. They may contain different anatomical elements such as vessels, nerves and lymph nodes. According to their anatomic-topographic localization we distinguish: subcutaneous, interfascial, sub and interserosal, subfascial, osteo-fascial, parafascial, paravasosal, paraneural, paraarticular and paravisceral. Terminal branches of peripheral nerves are also located in them, thus there is the possibility to perform loco-regional

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Taleb, Husien, Stefan Trela, and Mohammad I. Ayoub. "Perioperative Analgesia for Forequarter Amputation in a Morbidly Obese Patient: Dual ESP Block Catheters Plus Interscalene Block." Journal of Anaesthesia and Critical Care Reports 9, no. 3 (2023): 12–14. http://dx.doi.org/10.13107/jaccr.2023.v09.i03.224.

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Erector spinae plane block (ESPB) is a novel fascial plane block that has been first described in 2016. ESPB has been considered as an alternative for brachial plexus blocks in the shoulder and upper back surgeries as the erector spinae muscle extends to the cervical level. We present a case of a 34-year-old, 6-foot, 145 kg female patient with a BMI of 43.5, for which we successfully inserted dual-level ESPB catheters combined with single shot interscalene for an upper extremity forequarter amputation. Keywords: Erector spinae plane block, Interscalene block, Morbidly obese, Forequarter amputa

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Yildiz, Yahya, Bahadir Ciftci, Burak Omur, and Ali Ahiskalioglu. "A Novel Combination for 7-Month-Old Infant Undergoing Cardiac Surgery: Pectointercostal Fascial Plane Block and Rectointercostal Fascial Plane Block." A&A Practice 18, no. 10 (2024): e01853. http://dx.doi.org/10.1213/xaa.0000000000001853.

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28

Tulgar, Serkan, Ali Ahıskalıoğlu, Alper Kilicaslan, et al. "Fascial plane blocks as the main anesthetic method: A narrative review." Saudi Journal of Anaesthesia 19, no. 2 (2025): 198–208. https://doi.org/10.4103/sja.sja_844_24.

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This narrative review evaluates the efficacy of fascial plane blocks (FPB) as sole anesthetic method for surgery. Particularly in selected high-risk patients, fascial plane blocks may be a more useful and convenient option than general anesthesia or neuraxial anesthesia. In recent years, with the use of ultrasound, newly defined FPBs have emerged and these techniques have become popular. There are case reports in the literature reporting the use of these blocks for anesthesia, but clinical studies are limited and clinicians may be undecided about which block or combination to apply in which ca

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Blanco, Rafael. "Pecs Block and Serratus Plane Blocks. How to Explain Fascial Compartments." Ultrasound in Medicine & Biology 43 (2017): S182—S183. http://dx.doi.org/10.1016/j.ultrasmedbio.2017.08.1616.

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Paolo, Scimia, Gentili Luca, D’Agostino M. Luca, and Sepolvere Giuseppe. "Synergy from two different fascial blocks for multimodal analgesia in breast cancer surgery." Saudi Journal of Anaesthesia 19, no. 3 (2025): 437–39. https://doi.org/10.4103/sja.sja_798_24.

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Breast cancer surgery often results in significant postoperative pain, which can have psychological, physiological, and socio-economic consequences, and increase the risk of chronic pain. While locoregional anesthesia, including fascial blocks, has become essential in perioperative pain management, achieving adequate coverage in complex breast surgeries, especially with axillary dissection, remains challenging. This report presents a case of a 55-year-old woman undergoing left mastectomy with axillary lymph node dissection. A combination of a unilateral Erector Spinae Plane (ESP) block at the

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Al Misnid, Omar, and Assistant Professor. "Regional anesthesia for axillary lymph node excisional biopsy in a patient with anterior mediastinal mass." Anaesthesia, Pain & Intensive Care 29, no. 3 (2025): 711–14. https://doi.org/10.35975/apic.v29i3.2779.

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Regional blocks for the anterolateral chest wall are challenging in regard to the anatomical basics and innervation, the limitation of evidence, lack of guidelines, and wide discrepancy in practice among health practitioners. Despite the challenges, new fascial plane blocks have been used recently more often as analgesic techniques. In very few occasions these techniques have been reported in literature as surgical blocks in certain cases where General anesthesia was not the favorable choice. In this case, we present a challenging case which was postponed due to her high risk for general anest

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Whiteley, Kristina Alexis. "Comparison of Quadratus Lumborum Block and Transversus Abdominis Plane Block for Postoperative Pain Management." Anesthesia eJournal 10, no. 3 (2023): 9–10. http://dx.doi.org/10.18776/gx0bda07.

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Enhanced recovery after surgery (ERAS) protocols have been developed to promote rapid recovery of patients who undergo certain major surgeries, throughout the perioperative continuum, with a variety of interventions. Many protocols for open abdominal cases suggest preoperative epidural, wound catheter, or transversus abdominis plane (TAP) block placement for postoperative pain management.1 This case study presents a middle-aged woman who underwent a pancreatoduodenectomy (PD) and received an alternate postoperative fascial plane block, a quadratus lumborum (QL) block, rather than the currently

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Metinyurt, Hayri Fatih, Tayfun Sugur, Ali Sait Kavakli, and Goksel Cagirci. "Clavipectoral fascial plane block for implantable cardioverter defibrillator implantation." Journal of Clinical Anesthesia 71 (August 2021): 110197. http://dx.doi.org/10.1016/j.jclinane.2021.110197.

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Hamilton, Duncan Lee, and Baskar P. Manickam. "Clinical application of the external oblique fascial plane block." Journal of Clinical Anesthesia 61 (May 2020): 109644. http://dx.doi.org/10.1016/j.jclinane.2019.109644.

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Joseph, Tony Jose, Don Jose Palamattam, Thushara Madathil, Nagarjuna Panidapu, Devika Poduval, and Praveen Kumar Neema. "Large Hematoma Following Erector Spinae Plane Block: A Case Report." A&A Practice 18, no. 6 (2024): e01803. http://dx.doi.org/10.1213/xaa.0000000000001803.

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The ultrasound-guided erector spinae plane (ESP) block is an emerging fascial plane block, first described in 2016 for treating thoracic neuropathic pain. Since its introduction, it has been incorporated into multiple surgical procedures and has demonstrated proven benefits such as postoperative analgesia and reduction in opioid consumption. Being a superficial plane block, it avoids complications such as pneumothorax and hematoma, making it a safe mode of analgesia. We report a rare case of hematoma formation following ESP block in a patient who underwent mitral valve repair under cardiopulmo

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Costa, Fabio, Alessandro Ruggiero, Pierfrancesco Fusco, et al. "Fascial plane blocks for postoperative pain management after fast-track total knee arthroplasty: A narrative review." Saudi Journal of Anaesthesia 19, no. 2 (2025): 209–20. https://doi.org/10.4103/sja.sja_99_25.

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Total knee replacement is a common surgical procedure associated with significant postoperative pain, which can delay recovery and increase healthcare costs. Regional anesthesia techniques, including local infiltration analgesia and fascial plane blocks, play a crucial role in multimodal pain management strategies. These approaches aim to enhance pain relief while minimizing opioid use and preserving motor function. This narrative review evaluates the effectiveness and safety of motor-sparing fascial plane blocks for total knee replacement, categorizing techniques based on their anatomical tar

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Singh, Dewan Roshan. "Postthoracotomy Pain: The Unanswered Question Yet – A Clinical and Technical Report." SBV Journal of Basic, Clinical and Applied Health Science 7, no. 4 (2024): 161–65. https://doi.org/10.4103/sbvj.sbvj_30_24.

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Abstract Thoracotomy which is a major surgical procedure of making an incision through the thoracic wall in order to gain access to the thoracic organs, is a cornerstone of diagnosis and management of numerous cardiopulmonary disorders. Nonetheless, most essential area of patient care, postoperative pain management, presents several obstacles. Published literature shows that about three-quarters of the thoracotomy patients reported immediate pain or discomfort during the early postoperative period, and up to 30%–50% patients might even develop chronic pain that has implications on their health

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Sharipova, V. Kh, I. V. Fokin, F. K. Sattarova, and F. O. Parpibayev. "Erector Spinae Plane Fascial Block in Multiple Rib Fractures (Case Report)." General Reanimatology 16, no. 5 (2020): 22–29. http://dx.doi.org/10.15360/1813-9779-2020-5-22-29.

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The aim of the study: to improve the efficacy of erector spinae plane (ESP) fascial block for pain management in patients with multiple rib fractures. Materials and methods. We observed 4 patients with multiple rib fractures who were treated with ESP fascial block with subsequent prolonged administration of local anesthetic for pain relief. To evaluate the efficacy of the ESP block, the visual analogue scale (VAS) for pain intensity, cough performance index and forced vital capacity (FVC), as well as a modified 3-item scale were used. The distribution of local anesthetic (10% lidocaine solutio

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Al Misnid, Omar. "Regional anesthesia for axillary lymph node excisional biopsy in a patient with anterior mediastinal mass." Anaesthesia, Pain & Intensive Care 29, no. 2 (2025): 354–57. https://doi.org/10.35975/apic.v29i2.2729.

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Regional blocks for the anterolateral chest wall are challenging in regard to the anatomical basics and innervation, the limitation of available evidence, lack of credible guidelines, and wide discrepancy in the existing practice among the health practitioners across the countries. Despite the challenges, recently new fascial plane blocks have been used more often as analgesic techniques. In very few occasions these techniques have been reported in literature as surgical blocks in certain cases where general anesthesia was not favorable or advisable. We present a challenging case in which the

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Hussain, Nasir, Jarod Speer, and Faraj W. Abdallah. "Analgesic Effectiveness of Liposomal Bupivacaine versus Plain Local Anesthetics for Abdominal Fascial Plane Blocks: A Systematic Review and Meta-analysis of Randomized Trials." Anesthesiology 140, no. 5 (2024): 906–19. http://dx.doi.org/10.1097/aln.0000000000004932.

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Background Liposomal bupivacaine is reported to prolong the duration of analgesia when used for abdominal fascial plane blocks compared to plain local anesthetics; however, evidence from randomized trials is mixed. This meta-analysis aims to compare the analgesic effectiveness of liposomal bupivacaine to plain local anesthetics in adults receiving abdominal fascial plane blocks. Methods Randomized trials comparing liposomal bupivacaine and plain (nonliposomal) local anesthetics in abdominal fascial plane blocks were sought. The primary outcome was area under the curve rest pain between 24 to 7

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Joshi, Pooja, Deepak Borde, Pramod Apsingekar, et al. "Pecto-intercostal Fascial Plane Block: A Novel Technique for Analgesia in Patients with Sternal Dehiscence." Annals of Cardiac Anaesthesia 27, no. 2 (2024): 169–74. http://dx.doi.org/10.4103/aca.aca_107_23.

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ABSTRACT Sternal wound complications following sternotomy need a multidisciplinary approach in high-risk postoperative cardiac surgical patients. Poorly controlled pain during surgical management of such wounds increases cardiovascular stress and respiratory complications. Multimodal analgesia including intravenous opioids, non-opioid analgesics, and regional anesthesia techniques, like central neuraxial blocks and fascial plane blocks, have been described. Pecto-intercostal fascial plane block (PIFB), a novel technique, has been effectively used in patients undergoing cardiac surgery. Under u

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Sahoo, RajendraK, Rajesh Kar, Roushan Patel, et al. "Pectoral-intercostal fascial plane block in chronic post-sternotomy pain." Annals of Cardiac Anaesthesia 25, no. 1 (2022): 97. http://dx.doi.org/10.4103/aca.aca_62_20.

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Marrone, Francesco, Simone Failli, Fabio Fabbri, et al. "Erector Spinae Plane Block Together With Inter-Transverse Process Block for Open Gastrectomy: Case Report." A&A Practice 19, no. 2 (2025): e01918. https://doi.org/10.1213/xaa.0000000000001918.

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Fascial plane blocks of the posterior thoracic wall (erector spinae plane [ESP] and intertransverse plane [ITP]) may offer advantages for high-risk patients requiring open abdominal surgery in whom thoracic epidural analgesia (TEA) combined with general anesthesia (GA) may be relatively contraindicated. As a primary anesthesia method, ESP/ITP (paravertebral by proxy) blocks proved effective in a case of open gastrectomy by avoiding airway intervention, mechanical ventilation, and effectively managing visceral pain. This article highlights the use of ESP/ITP blocks in a high-risk patient for wh

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Govender, Sabashnee, Dwayne Mohr, Adrian Bosenberg, and Albert Neels Van Schoor. "A cadaveric study of the erector spinae plane block in a neonatal sample." Regional Anesthesia & Pain Medicine 45, no. 5 (2020): 386–88. http://dx.doi.org/10.1136/rapm-2019-100985.

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BackgroundThe aim of this article was to provide a detailed description of the neonatal anatomy related to the erector spinae plane block and to report the spread of the dye within the fascial planes and potential dermatomal coverage.MethodsUsing ultrasound guidance, the bony landmarks and anatomy of the erector spinae fascial plane space were identified. The erector spinae plane block was then replicated unilaterally in two fresh unembalmed neonatal cadavers. Using methylene blue dye, the block was performed at vertebral levels T5—using 0.5 mL in cadaver 1—and T8—using 0.2 mL in cadaver 2. Th

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Kandemir, Erbin, Can Ozan Yazar, Nur İpek Şenel, Hüseyin Bilgehan Çevik, and Derya Özkan. "Block Combination for Shoulder Surgery in a Patient With a Free Flap on the Neck: The Serratus Posterior Superior Intercostal Plane Block Completes the Puzzle: A Case Report." A&A Practice 19, no. 7 (2025): e02014. https://doi.org/10.1213/xaa.0000000000002014.

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In this case report, successful perioperative management was achieved using a combination of regional anesthesia techniques in a patient with a free flap on the neck and anticipated difficult intubation scheduled for open shoulder surgery. Supraclavicular brachial plexus (SCBPB), suprascapular nerve (SSB), axillary nerve (ANB), and serratus posterior superior intercostal plane block (SPSIPB) were performed. This case demonstrates that fascial plane blocks may be integrated into regional anesthesia strategies to enhance dermatomal coverage in shoulder surgeries with complex innervation. Adequat

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Bernard, Laurence, Melissa Lavecchia, Gabrielle Trepanier, et al. "A Double-blinded, Randomized Trial Comparing Surgeon-Administered Transversus Abdominis Plane Block With Placebo After Midline Laparotomy in Gynecologic Oncology Surgery." Obstetrical & Gynecological Survey 78, no. 7 (2023): 404–5. http://dx.doi.org/10.1097/01.ogx.0000947148.64785.3a.

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(Abstracted from Am J Obstet Gynecol 2023;228:553.e1–553.e8) The transversus abdominis plane (TAP) block is an anesthetic technique wherein a local anesthetic solution is into the fascial plane between the transversus abdominis and the internal oblique muscles. The TAP block has been shown to reduce requirements of opioids after surgery; however, it can be time-consuming for use in the operating room setting.

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But, Michał, Krzysztof Wernicki, Jacek Zieliński, and Weronika Szczecińska. "A Comparison of the Effectiveness of the Serratus Anterior Plane Block and Erector Spinae Plane Block to that of the Paravertebral Block in the Surgical Treatment of Breast Cancer—A Randomized, Prospective, Single-Blinded Study." Journal of Clinical Medicine 13, no. 16 (2024): 4836. http://dx.doi.org/10.3390/jcm13164836.

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Background/Objectives: The paravertebral block (PVB) is a well-studied, effective method of analgesia for breast surgery. Alternative techniques involving the blockage of intercostal nerve branches are the serratus anterior plane block (SAPB) and the erector spinae plane block (ESPB). However, no studies comparing both fascial blocks to PVB in breast surgery have been published to date. We evaluated the effectiveness of ESPB and SAPB vs. PVB, expressed as the requirement for intraoperative fentanyl, pain intensity at rest and during coughing, and morphine consumption on the first postoperative

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Narayanan, Vidhya, Raghuraman M Sethuraman, Geetha Soundarya Udayakumar, and Vinitha Narayan. "Comment on “Transversus thoracis muscle plane block and pecto-intercostal fascial plane block in pediatric open heart surgery”." Anaesthesia Critical Care & Pain Medicine 42, no. 4 (2023): 101258. http://dx.doi.org/10.1016/j.accpm.2023.101258.

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Morley-Jepson, K., Z. Maharaj, and J. Wagner. "The “new kid” on the fascial plane block: erector spinae block – a narrative review." Southern African Journal of Anaesthesia and Analgesia 27, no. 4 (2021): 168–73. http://dx.doi.org/10.36303/sajaa.2021.27.4.2487.

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Brosnan, Kieran, Mary Moore, and Aisling Ní Eochagáin. "Erector spinae plane block in Caesarean sections: A scoping review." Saudi Journal of Anaesthesia 19, no. 1 (2025): 77–85. https://doi.org/10.4103/sja.sja_523_24.

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Background: Pain management for Caesarean section focuses on multimodal analgesia with a growing interest in the use of regional techniques. Currently, there is no gold standard peripheral regional analgesia technique for Caesarean section. The Erector Spinae Plane Block is a relatively new fascial plane block that may be used to provide analgesia for numerous surgical procedures of the trunk. In recent years it is the fascial plane block that has accumulated the most enthusiasm and debate. Its use in Caesarean section has grown over the past three years. Objective: To determine the scope of l

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