[Pubmed] Superficial Parasternal Intercostal Plane Block for Pain Control Following Thymectomy via Midline Sternotomy: A

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A A Pract. 2025 Oct 10;19(10):e02065. doi: 10.1213/XAA.0000000000002065. eCollection 2025 Oct 1.

ABSTRACT

We report a case of a 53-year-old male with myasthenia gravis who underwent thymectomy via a full-length median sternotomy. To minimize opioid exposure and enhance postoperative recovery, a bilateral ultrasound-guided superficial parasternal intercostal plane (S-PIP) block was administered using 15 mL of 0.25% bupivacaine on each side before incision. Postoperative analgesia was maintained with paracetamol and dexketoprofen. No systemic opioids were required, and pain scores remained below 4 during the first 24 hours. The patient recovered uneventfully in the postoperative period. This case highlights the utility of S-PIP block as a safe and opioid-sparing technique in high-risk patients undergoing sternotomy.

PMID:41082365 | DOI:10.1213/XAA.0000000000002065


Source: https://pubmed.ncbi.nlm.nih.gov/4108236 ... t9+e462414