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Pecto-intercostal Fascial Block for Acute Post-sternotomy Pain: A Case Report
Post-sternotomy pain is a common complication after coronary artery bypass graft (CABG) surgery and is associated with adverse postoperative events, such as delirium, hypertension, tachycardia, arrhythmias, respiratory complications, and persistent postsurgical pain. Common treatments include opioids, nonsteroidal anti-inflammatory drugs, and infrequently neuraxial or peripheral regional analgesic techniques. A peripheral regional analgesia technique may be advantageous in this patient population.
The pecto-intercostal fascial block (PIFB) was recently described for anesthesia during breast surgery. We report the application of bilateral PIFB in a patient with severe sternotomy pain after CABG surgery with the patient’s permission.