How far does a superficial parasternal block really spread?

Parasternal intercostal plane blocks have rapidly become staples in modern cardiac anesthesia pathways, especially for sternotomy analgesia, where opioid minimization and stable respiratory mechanics are essent...

CT imaging reveals high ESP catheter migration in rib fracture analgesia

Rib fractures remain a major source of morbidity in trauma patients, often leading to respiratory compromise, prolonged ICU admission, and increased risk of pneumonia. Effective analgesia is essential: inadequa...

Popliteal plexus block + femoral triangle block after TKA: Modest opioid savings with...

Effective postoperative analgesia after total knee arthroplasty (TKA) remains a major goal within enhanced recovery pathways. Motor-sparing strategies such as the adductor canal block (ACB) and femoral triangle...

Regional anesthesia in ambulatory care

Ambulatory surgery continues to expand across specialties as health systems push procedures out of the inpatient setting and into high-efficiency outpatient centers. This shift is driven by both economic pressu...

Continuous SPIP catheters after sternotomy: does extending the block offer any real b...

Median sternotomy remains the primary access for cardiac surgery, but it comes at a price: intense anterior chest pain that can limit coughing, deep breathing, and early mobilization. Up to half of patients rep...

Intercostal nerve block outperforms ESPB for uniportal VATS

Postoperative pain after video-assisted thoracoscopic surgery (VATS) can be deceptively difficult. Even with an enhanced recovery pathway and multimodal analgesia, many patients report moderate pain during the ...