|
1
|
Fusco P, Pascarella G, Stecco C, Blanco R, Forero M, Pawa A, Tulgar S, Strumia A, Remore LM, DE Cassai A, Colantonio LB, Del Buono R, Fattorini F, Sepolvere G, Tedesco M, Petroni GM, Ciaschi W, Crassiti M, Costa F. Factors to consider for fascial plane blocks' success in acute and chronic pain management. Minerva Anestesiol 2024; 90:87-97. [PMID: 38197590 DOI: 10.23736/s0375-9393.23.17866-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
The outcome of fascial plane blocks (FPBs) has a certain variability that may depend on many factors, which can be divided into three main categories: operator-related, patient-related and drug-related. Operator-related factors include personal skills, choice of needle and injection modalities. Patient variables include anthropometric features, the type of targeted fascia, anatomical variants, patient positioning, muscle tone and breathing. Ultimately, efficacy, onset, and duration of fascial blocks may be affected by characteristics of the injected solution, including the type of local anesthetic, volume, concentration, pH, temperature and the use of adjuvants. In this article, we investigated all the factors that may influence the outcome of FPBs from a generic perspective, without focusing on any specific technique. Also, we provided suggestions to optimize techniques for everyday practitioners and insights to researchers for future studies.
Collapse
Affiliation(s)
- Pierfrancesco Fusco
- Unit of Anesthesia and Intensive Care, SS Filippo e Nicola Hospital, Avezzano, L'Aquila, Italy
| | - Giuseppe Pascarella
- Unit of Anesthesia and Intensive Care, Campus Bio-Medico University Hospital, Rome, Italy
| | - Carla Stecco
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
| | - Rafael Blanco
- Unit of Anesthesia and Intensive Care, King's College Hospital Dubai, Abu Dhabi, United Arab Emirates
| | - Mauricio Forero
- Faculty of Anesthesia and Pain Medicine, McMaster University, Hamilton, ON, Canada
| | - Amit Pawa
- Department of Anesthesia and Perioperative Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - Serkan Tulgar
- Department of Anesthesiology and Reanimation, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkiye
| | - Alessandro Strumia
- Unit of Anesthesia and Intensive Care, Campus Bio-Medico University Hospital, Rome, Italy
| | - Luigi M Remore
- Unit of Anesthesia and Intensive Care, Campus Bio-Medico University Hospital, Rome, Italy
| | - Alessandro DE Cassai
- Unit of Anesthesia and Intensive Care, University Hospital of Padua, Padua, Italy
| | | | - Romualdo Del Buono
- Unit of Anesthesia, Resuscitation, Intensive Care and Pain Management, ASST Gaetano Pini, Milan, Italy
| | | | - Giuseppe Sepolvere
- Intensive Care Unit, Department of Anesthesia and Cardiac Surgery, San Michele Hospital, Maddaloni, Caserta, Italy
| | - Mario Tedesco
- Department of Anesthesia, Intensive Care and Pain Therapy, Mater Day Hospital, Bari, Italy
| | - Gian M Petroni
- Unit of Anesthesia and Intensive Care, S. Maria Hospital, Terni, Italy -
| | - Walter Ciaschi
- Unit of Anesthesia and Intensive Care, F. Spaziani Hospital, Frosinone, Italy
| | - Massimiliano Crassiti
- Unit of Anesthesia and Intensive Care, Campus Bio-Medico University Hospital, Rome, Italy
| | - Fabio Costa
- Unit of Anesthesia and Intensive Care, Campus Bio-Medico University Hospital, Rome, Italy
| |
Collapse
|
|
2
|
Costa F, DE Cassai A, Pascarella G, Strumia A, Schiavoni L, Mattei A, Cataldo R, Agrò FE, Carassiti M. Fascial plane blocks: time to explore the dark side of the moon. Minerva Anestesiol 2023; 89:360-361. [PMID: 37102277 DOI: 10.23736/s0375-9393.22.16936-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Affiliation(s)
- Fabio Costa
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Alessandro DE Cassai
- Section of Anesthesiology and Intensive Care, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Giuseppe Pascarella
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy -
| | - Alessandro Strumia
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Lorenzo Schiavoni
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Alessia Mattei
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Rita Cataldo
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Felice E Agrò
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| | - Massimiliano Carassiti
- Unit of Anesthesia, Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Rome, Italy
| |
Collapse
|
|
3
|
Carron M, Ieppariello G, DE Cassai A, Lambertini C, Linassi F, Navalesi P. Corrected versus total body weight for dosage of sugammadex in morbidly obese patients. A randomized, double-blind, controlled trial. Minerva Anestesiol 2020; 87:371-373. [PMID: 33325220 DOI: 10.23736/s0375-9393.20.15038-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Michele Carron
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy -
| | - Giovanna Ieppariello
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Alessandro DE Cassai
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Chiara Lambertini
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Federico Linassi
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Paolo Navalesi
- Section of Anesthesiology and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| |
Collapse
|
|
4
|
Munari M, DE Cassai A, Casartelli Liviero M, Zanatta P, Martin MA, Soragni A, Maiorelli G, Benetton C, Dall'acqua G, Chioffi F, Navalesi P. SARS-CoV-2 pandemic impact on traumatic brain injury epidemiology: an overview of the Veneto region. Minerva Anestesiol 2020; 87:489-490. [PMID: 33274903 DOI: 10.23736/s0375-9393.20.15148-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marina Munari
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy
| | - Alessandro DE Cassai
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy -
| | | | - Paolo Zanatta
- Unit of Anesthesia and Intensive Care, University City Hospital of Verona, Verona, Italy
| | - Marina A Martin
- Department of Anesthesia and Intensive Care, San Bortolo Hospital, Vicenza, Italy
| | | | - Giorgio Maiorelli
- Anesthesia and Intensive Care Unit, L'Angelo Hospital, Mestre, Italy
| | - Claudio Benetton
- Anesthesia and Intensive Care, Ca' Foncello Hospital, Treviso, Italy
| | - Guido Dall'acqua
- Anesthesia and Intensive Care, Ca' Foncello Hospital, Treviso, Italy
| | - Franco Chioffi
- Department of Neurosurgery, University Hospital of Padua, Padua, Italy
| | - Paolo Navalesi
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.,Department of Medicine (DIMED), University of Padua, Padua, Italy
| |
Collapse
|
|
5
|
Boscolo-Berto R, Bonvicini D, DE Cassai A, Negrello M, Macchi V, Navalesi P, DE Caro R, Porzionato A. High variability of in-depth injective spread in the erector spinae plane block: a cadaveric anatomical insight. Minerva Anestesiol 2020; 87:112-113. [PMID: 32720789 DOI: 10.23736/s0375-9393.20.14850-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Rafael Boscolo-Berto
- Institute of Human Anatomy, Department of Neurosciences, University of Padua, Padua, Italy - .,Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy -
| | - Daniele Bonvicini
- Unit of Anesthesiology and Intensive Care, Department of Urgency and Emergency, University Hospital of Padua, Padua, Italy
| | - Alessandro DE Cassai
- Unit of Anesthesia and Intensive Care, University Hospital of Padua, Padua, Italy
| | - Michele Negrello
- Unit of Anesthesia and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Veronica Macchi
- Institute of Human Anatomy, Department of Neurosciences, University of Padua, Padua, Italy.,Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy
| | - Paolo Navalesi
- Unit of Anesthesia and Intensive Care, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - Raffaele DE Caro
- Institute of Human Anatomy, Department of Neurosciences, University of Padua, Padua, Italy.,Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy
| | - Andrea Porzionato
- Institute of Human Anatomy, Department of Neurosciences, University of Padua, Padua, Italy.,Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy
| |
Collapse
|