Fasci(a)nating
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What are Fascial Plane Blocks?
The application of ultrasound in regional anesthesia has started with peripheral nerve blocks until Hebbard et al. showed the transversus abdomins plane (TAP) block in this field. The difference of the ultrasound-guided truncal blocks (fascial blocks) to peripheral nerve blocks is that there is no need for identification of nerves or plexus. The anesthetic (LA) is injected in an explicit muscle plane in which the injectate will be distributed and reaches the supposed nerve. To get a structured overview regarding truncal blocks, the following differentiation can be used: Blocks of the abdominal wall, blocks in the chest and paraspinal blocks.1
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![](/fileadmin/_processed_/e/6/csm_pa_fascia_slide-SonoTAP_2_5bcf3645c2.png)
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What PAJUNK® offers?
We offer different single shot needles and continuous catheter systems for fascial plane blocks. Below you find for each block a product recommendation and a literature review.
Why Pajunk?
Because we have years of experience in the field of ultrasound-guided needles. In collaboration with Dr. Chris Mitchell, we have succeeded in creating an effect that allows the ultrasound to always return to the transducer, thus generating an optimized ultrasound image. Cornerstones Reflectors – A Standard for Ultrasound Visibility
You can read more about the success story of our Cornerstone technology here.
BLOCK | Indication | PRODUCT RECOMMENDATION | LITERATURE REFERENCE |
ESP Block (Erector Spinae Plane) | Thoracic and upper abdominal surgery, Posterior rib fractures | Single Shot: Continuous: | for SonoPlex for E-Cath/E-Cath Plus |
PECS Block (Pectoral Nerve) | Breast surgery | Single Shot: Continuous: | for SonoPlex for Continuous |
PVB Block (Paravertebral) | Surgery involving the breast, ribs and chest wall | Single Shot: Continuous: | forSonoTAP forSonoLong Curl Echo |
QLB Block (Quadratus Lumborum) | Abdominal surgery | Single Shot: Continuous: | for SonoPlex for Continuous |
SAP Block (Serratus Anterior Plane) | Rib fractures, Breast surgery, Axillary surgery | Single Shot: Continuous: | for SonoPlex for Continuous |
TAP Block (Transversus-abdominis-plane) | Abdominal surgery | Single Shot: Continuous: | for SonoPlex forContinuous |
RSB Block (Rectus Sheath) | Mid-line abdominal incisions | Continuous: E-Cath/E-Cath Plus, SonoLong Sono | for Continuous |
ESRA & ASRA Webinars
In the following you will find webinars on fascial plane blocks.
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Brochure Fascial Plane Blocks
Brochure_Fascial-Plane-Blocks_Screen.pdfGuRU Poster - Trunk
GuRU-Poster_Trunk.pdf1 Chakraborty, A., Blockmate, a practical guide for Ultrasound Guided Regional Anaesthesia, 2021 | 1st ed. 2021,Springer Verlag, Singapore
needles and catheters?
Take a look into our nerve block pages."