Korean J Anesthesiol.  2022 Dec;75(6):460-472. 10.4097/kja.22564.

Current evidence of ultrasound-guided fascial plane blocks for cardiac surgery: a narrative literature review

• Hong B
• Oh C
• Jo Y
• Lee S
• Park S
• Kim YH

• KMID: 2536117
• DOI: http://doi.org/10.4097/kja.22564

Abstract

Fascial plane blocks are useful for multimodal analgesia after cardiac surgery since they can provide effective analgesia without the serious risks associated with conventional techniques such as neuraxial hematoma and pneumothorax. This narrative review covers blocks performed at the parasternal intercostal, interpectoral, pectoserratus, serratus anterior, erector spinae, and retrolaminar planes, which are targets for fascial plane blocks in cardiac surgery. Brief anatomical considerations, mechanisms, and currently available evidence are reviewed. Additionally, recent evidence on fascial plane blocks for subcutaneous-implantable cardioverter-defibrillator implantation are also reviewed.

Keyword

Analgesia; Cardiac surgical procedures; Fascia; Implantable cardioverter defibrillator; Nerve block; Postoperative pain; Thoracic wall