Ultrasound-Guided Parasternal Block Allows Optimal Pain Relief and Ventilation Improvement After a Sternal Fracture

Kurian P. Thomas1, Shaji Sainudeen1, Suraj Jose1, Mansour Yousef Nadhari1, Philippe Macaire1
1Department of Anesthesiology, Rashid Hospital-Trauma Centre, Dubai Health Authority, Dubai, United Arab Emirates

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Knobloch K, Wagner S, Haasper C, et al. Sternal fractures occur most often in old cars to seat-belted drivers without any airbag often with concomitant spinal injuries: clinical findings and technical collision variables among 42,055 crash victims. Ann Thorac Surg. 2006;82:444–50.

Khoriati AA, Rajakulasingam R, Shah R. Sternal fractures and their management. J Emerg Trauma Shock. 2013;6:113–6.

Von Garrel T, Ince A, Junge A, et al. The sternal fracture: radiographic analysis of 200 fractures with special reference to concomitant injuries. J Trauma. 2004;57:837–44.

Cellik B, Sahin E, Nadir A, et al. Sternum fractures and effects of associated injuries. Thorac Cardiov Surg. 2009;57:468–71.

Oyetunji TA, Jackson HT, Obirieze AC, et al. Associated injuries in traumatic sternal fractures: a review of the National Trauma Data Bank. Am Surg. 2013;79:702–5.

Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: a retrospective analysis of 272 cases. J Trauma. 1993;35:46–54.

Yeh DD, Hwabejire JO, DeMoya MA, et al. Sternal fracture—an analysis of the National Trauma Data Bank. J Surg Res. 2014;186:39–43.

Engin G, Yekeler E, Güloǧlu R, et al. US versus conventional radiography in the diagnosis of sternal fractures. Acta Radiol. 2000;41:296–9.

Wook J, Dal MY, Hyun ChK, et al. Diagnostic values of sonography for assessment of sternal fractures compared with conventional radiography and bone scans. J Ultrasound Med. 2006;25:1263–8.

Reissig A, Copetti R, Kroegel C. Current role of emergency ultrasound of the chest. Crit Care Med. 2011;39:839–45.

de Oliveira M, Hassan TB, Sebewufu R, et al. Long-term morbidity in patients suffering a sternal fracture following discharge from the A and E department. Injury. 1998;29:609–12.

Velissaris T, Tang ATM, Patel A, et al. Traumatic sternal fracture: outcome following admission to a thoracic surgical unit. Injury. 2003;34:924–7.

Gage A, Rivara F, Wang J, et al. The effect of epidural placement in patients after blunt thoracic trauma. J Trauma Acute Care Surg. 2014;76:39–45.

Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138:717–23.

Karmakar MK, Critchley LA, Ho AM, et al. Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs. Chest. 2003;123:424–31.

Mackersie RC, Karagianes TG, Hoyt DB, et al. Prospective evaluation of epidural and intravenous administration of fentanyl for pain control and restoration of ventilatory function following multiple rib fractures. J Trauma. 1991;31:443–9.

Abrahams MS, Horn JL, Aziz MF. Evidence based medicine: ultrasound guidance for truncal blocks. Reg Anesth Pain Med. 2010;35:36–42.

Wilson SR, Price DD, Penner E. Pain control for sternal fracture using an ultrasound-guided hematoma block. J Emerg Med. 2010;38:359–61.

Chaudhary V, Chauhan S, Choudhury M, et al. Parasternal intercostal block with ropivacaine for postoperative analgesia in pediatric patients undergoing cardiac surgery: a double-blind, randomized, controlled study. J Cardiothorac Vasc Anesth. 2012;26:439–42.

Barr AM, Tutungi E, Almeida AA. Parasternal intercostal block with ropivacaine for pain management after cardiac surgery: a double-blind, randomized, controlled trial. J Cardiothorac Vasc Anesth. 2007;21:547–53.

McDonald SB, Jacobsohn E, Kopacz DJ, et al. Parasternal block and local anesthetic infiltration with levobupivacaine after cardiac surgery with desflurane: the effect on postoperative pain, pulmonary function, and tracheal extubation times. Anesth Analg. 2005;100:25–32.

Mauri T, Bellani G, Confalonieri A, Tagliabue P, et al. Topographic distribution of tidal ventilation in acute respiratory distress syndrome: effects of positive end-expiratory pressure and pressure support. Crit Care Med. 2013;41(7):1664–73.

Blankman P, Hasan D, van Mourik MS, Gommers D. Ventilation distribution measured with EIT at varying levels of pressure support and neurally adjusted ventilatory assist in patients with ALI. Intensive Care Med. 2013;39(6):1057–62. doi: 10.1007/s00134-013-2898-8 .