Figure Legends:
FIG 1 Sonoanatomy of Pectoralis-Intercostal-Rectus Sheath (PIRS) block. A, Pectointercostal Fascial Block (PIFB), injection of local anaesthetic between Pectoralis Major muscle and External Intercostal muscle. B, Rectus sheath block (RSB), injection of local anaesthetic in the space between rectus abdominis muscle and the posterior sheath.
Fig 2 Subxiphoid surgical access and chest tube drainage