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Intercostal nerve block
An intercostal nerve block is a regional anesthesia technique that delivers local anesthetic to the intercostal nerves to block pain sensation in the chest wall.
An intercostal nerve block is a regional anesthesia technique that delivers local anesthetic to the intercostal nerves to block pain sensation in the chest wall. Used for Post-operative pain management following thoracic surgery, Rib fracture pain management, Acute chest wall pain.
At a glance
| Generic name | Intercostal nerve block |
|---|---|
| Sponsor | George Washington University |
| Modality | Small molecule |
| Therapeutic area | Anesthesia/Pain Management |
| Phase | Phase 3 |
Mechanism of action
This procedure involves injecting local anesthetic around the intercostal nerves that run along the ribs, temporarily interrupting pain signals from the chest wall and rib cage. It is used to provide analgesia for thoracic and upper abdominal surgical procedures, rib fractures, and post-operative pain management. The block can be administered as a single injection or continuous infusion via catheter.
Approved indications
- Post-operative pain management following thoracic surgery
- Rib fracture pain management
- Acute chest wall pain
Common side effects
- Pneumothorax
- Local anesthetic toxicity
- Bleeding/hematoma
- Nerve injury
Key clinical trials
- Comparison of Paravertebral Block and Deep Parasternal Intercostal Plane Block in Cardiac Surgery (NA)
- Parascapular Sub Iliocostalis Plane Block Versus Thoracic Paravertebral Plane Block for Traumatic Multiple Rib Fractures (NA)
- Intercostal Nerve Cryoablation Versus Epidural Analgesia for Nuss Repair of Pectus Excavatum (NA)
- A Multicenter Patient Registry on Outcomes From Cryoanalgesia of the Intercostal Nerves
- EOIFP Block Versus OSTAP Block for Upper Abdominal Surgery (NA)
- Rhomboid Intercostal Block vs Erector Spinae Block (NA)
- SPS Block vs. Surgical Intercostal Block for Chronic Pain After Thoracoscopic Surgery (NA)
- RISS Block for Enhanced Recovery After Video-Assisted Thoracoscopic Surgery (NA)
Primary sources
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| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |