Pitfalls of Ultrasound-guided Nerve Block Performed on the Thoracic Wall

Abstract

Various types of ultrasound-guided thoracic wall nerve blocks have been described. In performing thoracic wall nerve blocks, a particular muscle plane or fascia where local anesthetic should be injected needs to be identified instead of the nerve or plexus, and care should be paid to avoid pneumothorax and vascular injury. In this article, tricks and tips for thoracic paravertebral block using intercostal in plane approach and Pecs block are described.