title: Bilateral Subpectoral Interfascial Plane Catheters for Analgesia for Sternal Fractures: A Case Report.
abstract: OBJECTIVE
  Sternal fractures occur after deceleration injuries such as falls and road traffic accidents. Recovery from isolated fractures is excellent, but mortality increases dramatically with concurrent chest injuries such as rib fractures and soft tissue injuries. Short-term complications include chest pain, which prevents patients from taking deep breaths and coughing, thereby predisposing them to chest infections.
  
  
  METHODS
  We present a case of a 73-year-old woman with sternal fracture in whom enteral analgesia was inadequate and who was intolerant to intravenous opiates.
  
  
  CONCLUSIONS
  The patient was successfully treated with a continuous infusion of local anesthetic into the subpectoral interfascial plane. We also discuss the use and potential benefits of the subpectoral interfascial plane block in the treatment of pain from sternal fractures.
authors.affiliation: From the *Department of Anesthetics, Frimley Park Hospital, Surrey; and †Hampshire Hospitals NHS Trust, Winchester, Hampshire, United Kingdom.
authors.forename: Irfan
authors.initials: I
authors.lastname: Raza
authors.forename: Madankumar
authors.initials: M
authors.lastname: Narayanan
authors.forename: Arun
authors.initials: A
authors.lastname: Venkataraju
authors.forename: Alexandra
authors.initials: A
authors.lastname: Ciocarlan
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage*; D002637:Chest Pain / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D013249:Sternum / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine