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Chest Wall and Abdominal Blocks for Thoracic and Abdominal Surgeries: A Review

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Abstract

Purpose of Review

The purpose of this review is to provide an up-to-date description and overview of the rapidly growing literature pertaining to techniques and clinical applications of chest wall and abdominal fascial plane blocks in managing perioperative pain.

Recent Findings

Clinical evidence suggests that regional anesthesia blocks, including fascial plane blocks, such as pectoralis, serratus, erector spinae, transversus abdominis, and quadratus lumborum blocks, are effective in providing analgesia for various surgical procedures and have more desirable side effect profile when compared to traditional neuraxial techniques. They offer advantages such as reduced opioid consumption, improved pain control, and decreased opioid-related side effects.

Summary

Further research is needed to establish optimal techniques and indications for these blocks. Presently, they are a vital instrument in a gamut of multimodal analgesia options, especially when there are contraindications to neuraxial or para-neuraxial procedures. Ultimately, clinical judgment and provider skill set determine which blocks—alone or in combination—should be offered to any patient.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgements

We want to acknowledge Radhika Sharma for her meticulous illustrations.

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Authors and Affiliations

  1. Department of Anesthesiology, Weill-Cornell Medicine, New York, NY, 10065, USA

    Richa Sharma

  2. Department of Anesthesiology, Columbia University Medical Center, New York, NY, 10032, USA

    James Damiano, Ibrahim Al-Saidi & Anis Dizdarevic

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  1. Richa Sharma
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Correspondence to Richa Sharma.

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Sharma, R., Damiano, J., Al-Saidi, I. et al. Chest Wall and Abdominal Blocks for Thoracic and Abdominal Surgeries: A Review. Curr Pain Headache Rep 27, 587–600 (2023). https://doi.org/10.1007/s11916-023-01158-7

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