Fascial plane block of lateral cutaneous branches of thoracic intercostal nerves, intercostobrachial nerve, long thoracic nerve, and thoracodorsal nerve, providing somatic analgesia to hemithorax, specifically anterolateral chest wall and axilla
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Bhatt HV et al: Serratus anterior plane block for transapical off-pump mitral valve repair with NeoChord implantation. J Cardiothorac Vasc Anesth. 33(7):2105-7, 2019
Kazior MR et al: Serratus anterior plane block for minimally invasive valve surgery thoracotomy pain. J Clin Anesth. 56:48-9, 2019
Khemka R et al: Ultrasound-guided modified serratus anterior plane block for perioperative analgesia in breast oncoplastic surgery: a case series. Indian J Anaesth. 63(3):231-4, 2019
Lee J et al: The effects of ultrasound-guided serratus plane block, in combination with general anesthesia, on intraoperative opioid consumption, emergence time, and hemodynamic stability during video-assisted thoracoscopic lobectomy: a randomized prospective study. Medicine (Baltimore). 98(18):e15385, 2019
Miller MA et al: Feasibility of subcutaneous implantable cardioverter-defibrillator implantation with opioid sparing truncal plane blocks and deep sedation. J Cardiovasc Electrophysiol. 30(1):141-8, 2019
Rose P et al: Serratus anterior plane block home catheter for posterior rib fractures and flail chest. Can J Anaesth. 66(8):997-8, 2019
Semyonov M et al: Ultrasound-guided serratus anterior plane block for analgesia after thoracic surgery. J Pain Res. 12:953-60, 2019
Tore Altun G et al: Ultrasound-guided serratus anterior plane block for pain management following minimally invasive repair of pectus excavatum. J Cardiothorac Vasc Anesth. 33(9):2487-91, 2019
Bakr MA et al: Effect of dexmedetomidine added to modified pectoral block on postoperative pain and stress response in patient undergoing modified radical mastectomy. Pain Physician. 21(2):E87-96, 2018
Bhoi D et al: Comparison of two different techniques of serratus anterior plane block: a clinical experience. J Anaesthesiol Clin Pharmacol. 34(2):251-3, 2018
Biswas A et al: Serratus plane block: a cadaveric study to evaluate optimal injectate spread. Reg Anesth Pain Med. 43(8):854-8, 2018
Droghetti A et al: Ultrasound-guided serratus anterior plane block combined with the two-incision technique for subcutaneous ICD implantation. Pacing Clin Electrophysiol. 41(5):517-23, 2018
Elsharkawy H et al: Rhomboid intercostal and subserratus plane block: a cadaveric and clinical evaluation. Reg Anesth Pain Med. 43(7):745-51, 2018
Kaur RP et al: Serratus anterior plane block versus thoracic epidural analgesia for post-thoracotomy pain relief. J Cardiothorac Vasc Anesth. 32(6):e11-2, 2018
Sir E et al: A novel technique: ultrasound-guided serratus anterior plane block for the treatment of post-traumatic intercostal neuralgia. a case report. Am J Phys Med Rehabil. ePub, 2018
Fu P et al: Case report of serratus plane catheter for pain management in a patient with multiple rib fractures and an inferior scapular fracture. A A Case Rep. 8(6):132-5, 2017
Khalil AE et al: Ultrasound-guided serratus anterior plane block versus thoracic epidural analgesia for thoracotomy pain. J Cardiothorac Vasc Anesth. 31(1):152-8, 2017
Kunigo T et al: Injection volume and anesthetic effect in serratus plane block. Reg Anesth Pain Med. 42(6):737-40, 2017
Kunhabdulla NP et al: Serratus anterior plane block for multiple rib fractures. Pain Physician. 17(5):E651-3, 2014
Blanco R et al: Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anaesthesia. 68(11):1107-13, 2013
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Abbreviations
Serratus anterior plane (SAP)
Serratus anterior muscle (SAM)
Latissimus dorsi muscle (LDM)
Teres major muscle (TMM)
Definitions
Fascial plane block of lateral cutaneous branches of thoracic intercostal nerves, intercostobrachial nerve, long thoracic nerve, and thoracodorsal nerve, providing somatic analgesia to hemithorax, specifically anterolateral chest wall and axilla
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Bhatt HV et al: Serratus anterior plane block for transapical off-pump mitral valve repair with NeoChord implantation. J Cardiothorac Vasc Anesth. 33(7):2105-7, 2019
Kazior MR et al: Serratus anterior plane block for minimally invasive valve surgery thoracotomy pain. J Clin Anesth. 56:48-9, 2019
Khemka R et al: Ultrasound-guided modified serratus anterior plane block for perioperative analgesia in breast oncoplastic surgery: a case series. Indian J Anaesth. 63(3):231-4, 2019
Lee J et al: The effects of ultrasound-guided serratus plane block, in combination with general anesthesia, on intraoperative opioid consumption, emergence time, and hemodynamic stability during video-assisted thoracoscopic lobectomy: a randomized prospective study. Medicine (Baltimore). 98(18):e15385, 2019
Miller MA et al: Feasibility of subcutaneous implantable cardioverter-defibrillator implantation with opioid sparing truncal plane blocks and deep sedation. J Cardiovasc Electrophysiol. 30(1):141-8, 2019
Rose P et al: Serratus anterior plane block home catheter for posterior rib fractures and flail chest. Can J Anaesth. 66(8):997-8, 2019
Semyonov M et al: Ultrasound-guided serratus anterior plane block for analgesia after thoracic surgery. J Pain Res. 12:953-60, 2019
Tore Altun G et al: Ultrasound-guided serratus anterior plane block for pain management following minimally invasive repair of pectus excavatum. J Cardiothorac Vasc Anesth. 33(9):2487-91, 2019
Bakr MA et al: Effect of dexmedetomidine added to modified pectoral block on postoperative pain and stress response in patient undergoing modified radical mastectomy. Pain Physician. 21(2):E87-96, 2018
Bhoi D et al: Comparison of two different techniques of serratus anterior plane block: a clinical experience. J Anaesthesiol Clin Pharmacol. 34(2):251-3, 2018
Biswas A et al: Serratus plane block: a cadaveric study to evaluate optimal injectate spread. Reg Anesth Pain Med. 43(8):854-8, 2018
Droghetti A et al: Ultrasound-guided serratus anterior plane block combined with the two-incision technique for subcutaneous ICD implantation. Pacing Clin Electrophysiol. 41(5):517-23, 2018
Elsharkawy H et al: Rhomboid intercostal and subserratus plane block: a cadaveric and clinical evaluation. Reg Anesth Pain Med. 43(7):745-51, 2018
Kaur RP et al: Serratus anterior plane block versus thoracic epidural analgesia for post-thoracotomy pain relief. J Cardiothorac Vasc Anesth. 32(6):e11-2, 2018
Sir E et al: A novel technique: ultrasound-guided serratus anterior plane block for the treatment of post-traumatic intercostal neuralgia. a case report. Am J Phys Med Rehabil. ePub, 2018
Fu P et al: Case report of serratus plane catheter for pain management in a patient with multiple rib fractures and an inferior scapular fracture. A A Case Rep. 8(6):132-5, 2017
Khalil AE et al: Ultrasound-guided serratus anterior plane block versus thoracic epidural analgesia for thoracotomy pain. J Cardiothorac Vasc Anesth. 31(1):152-8, 2017
Kunigo T et al: Injection volume and anesthetic effect in serratus plane block. Reg Anesth Pain Med. 42(6):737-40, 2017
Kunhabdulla NP et al: Serratus anterior plane block for multiple rib fractures. Pain Physician. 17(5):E651-3, 2014
Blanco R et al: Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anaesthesia. 68(11):1107-13, 2013
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