The sigs mission is to aid pain physicians in providing safe and effective regional anesthesia and analgesia to all eligible cardiothoracic surgery patients through excellence in research education and clinical care in cardiac and regional anesthesia. Regional anesthetic techniques in a form of various fascial plane chest wall blocks are an important adjunct to the optimal postoperative analgesia in cardiac surgery the most common application of fascial plane chest wall blocks has been for minimally invasive cardiac surgical procedures. In summary cardiac surgery patients may benefit from regional techniques through careful patient selection and proper application of the indicated techniques this review article systemically discussed the potential applications of regional anesthesia in cardiac surgery. Nearly a decade or two ago mention of regional anesthesia in cardiac surgery implied use of thoracic epidural anesthesia despite proven and potential benefits fear of permanent neurologic deficits prevented anesthesiologists from using epidural blocks routinely. Regional anesthesia has an important role in the anesthetic management of thoracic surgeries regional anesthesia provides better pain control than systemic opioid analgesia controls stress
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