Ultrasound‐guided fascial plane blocks for post‐breast surgery pain syndrome

Author:

Ferreira‐Silva Nuno1ORCID,Hurdle Mark Friedrich B.2,Clendenen Steven R.3ORCID,Gulati Amitabh4ORCID,McLaughlin Sarah A.5,Troyer Wesley6,Rosario‐Concepción Raúl A.6

Affiliation:

1. Department of Physical Medicine and Rehabilitation Hospital Professor Doutor Fernando Fonseca Amadora Portugal

2. Department of Pain Medicine Mayo Clinic Jacksonville Florida USA

3. Department of Anesthesiology Mayo Clinic Jacksonville Florida USA

4. Department of Anesthesiology and Critical Care Memorial Sloan Kettering Cancer Center New York New York USA

5. Department of Surgery Mayo Clinic Jacksonville Florida USA

6. Department of Physical Medicine and Rehabilitation Mayo Clinic Jacksonville Florida USA

Abstract

AbstractIntroductionPersistent pain following breast surgery is common and may be challenging to treat. In patients refractory to conservative treatments, ultrasound‐guided fascial plane blocks of thoracic nerves can be a useful option.ResultsThis type of neuro blockade technique provides advantages in terms of safety and efficacy that are convenient for physicians managing refractory and complex cases of post‐breast surgery syndrome.ConclusionThis technical review aims to present an up‐to‐date summary of the most common ultrasound‐guided fascial plane blocks for chronic pain in post‐breast surgery patients, provide a detailed technical description of each intervention, and propose preferred injections based on the anatomical location of the pain.

Publisher

Wiley

Subject

Anesthesiology and Pain Medicine

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