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Medizintechnologie (global) website.
If you are from United States,
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Medizintechnologie (global) website.
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What are Fascial Plane Blocks?
The application of ultrasound in regional anaesthesia 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 anaesthetic (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
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 the best possible ultrasound image. Cornerstones Reflectors – A Standard for Ultrasound Visibility
You can read more about the success story of our Cornerstone technology here.
BLOCK | Indication | PRODUCTRECOMMENDATION | LITERATUREREFERENCE |
ESP Block (Erector Spinae Plane) | Thoracic and upper abdominal surgery, Posterior rib fractures | Single Shot:
Continuous: E-Cath®/E-Cath® Plus, SonoLong Sono | for SonoPlex
|
PECS Block (Pectoral Nerve) | Breast surgery | Single Shot:
Continuous: E-Cath/E-Cath Plus, SonoLong Sono | for SonoPlex
for Continuous |
PVB Block (Paravertebral) | Surgery involving the breast, ribs and chest wall | Single Shot:
Continuous: | for SonoTAP
|
QLB Block (Quadratus Lumborum) | Abdominal surgery | Single Shot:
Continuous: E-Cath/E-Cath Plus | 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: E-Cath/E-Cath Plus | for SonoPlex
for Continuous |
RSB Block (Rectus Sheath) | Mid-line abdominal incisions | Continuous: E-Cath/E-Cath Plus, SonoLong Sono | for Continuous |
In the following you will find webinars on fascial plane blocks.
1 Chakraborty, A., Blockmate, a practical guide for Ultrasound Guided Regional Anaesthesia, 2021 | 1st ed. 2021,Springer Verlag, Singapore