Table 2.
Micro-anatomical characteristics of key fascial planes and their potential relevance to regional anesthesia
| Fascia | RA technique of interest | Mean thickness and structure | Mean HA content (µg) | Nerve fibers |
|---|---|---|---|---|
| Fascia lata | Fascia iliaca block | 805 to 944 µm with anterior to posterior thickness gradient | 35.4 ± 3 | + |
| Pectoral fascia |
Interpectoral plane block Pectoserratus plane block |
297 µm with cranio-caudal thickness gradient | NI | + |
| Rectus sheath | Rectus sheath block | densely packed fibrous bundles interspersed with small amounts of adipose tissue | 29.1 ± 0.2 | NI |
| Fascia transversalis |
Transversalis fascia plane block Quadratus lumborum plane block |
thin layer composed by an elastic system comprising three distinct fiber types—oxytalan, elaunin, and elastic fibers | NI | NI |
| Thoracolumbar fascia |
Erector spinae plane block Retrolaminar plane block Quadratus lumborum plane block |
Up to 1500 µm. Two-layers with a trilaminar structure with each lamina separated by thin, loose connective tissue rich in type I collagen | NI | ± |
RA regional anesthesia, NI no information
+ confirmed in histological studies
± not confirmed in all histological studies