Serratus plane block: a novel ultrasound‐guided thoracic wall nerve block

Summary We present a novel ultrasound‐guided regional anaesthetic technique that may achieve complete paraesthesia of the hemithorax. This technique may be a viable alternative to current regional anaesthetic techniques such as thoracic paravertebral and central neuraxial blockade, which can be tech...

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Vydané v:Anaesthesia Ročník 68; číslo 11; s. 1107 - 1113
Hlavní autori: Blanco, R., Parras, T., McDonnell, J. G., Prats‐Galino, A.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Blackwell Publishing Ltd 01.11.2013
Predmet:
Adult
Analgesia
Anesthesia, Conduction - methods
Anesthesiology
Anesthetics, Local - administration & dosage
Anesthetics, Local - pharmacology
Bupivacaine - administration & dosage
Bupivacaine - pharmacology
Female
Humans
Imaging, Three-Dimensional - methods
Magnetic Resonance Imaging - methods
Middle Aged
Nerve Block - methods
Nervous system
Thoracic surgery
Thoracic Wall - anatomy & histology
Thoracic Wall - drug effects
Ultrasonic imaging
Ultrasonography, Interventional - methods
Young Adult
ISSN:0003-2409, 1365-2044, 1365-2044
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Shrnutí:Summary We present a novel ultrasound‐guided regional anaesthetic technique that may achieve complete paraesthesia of the hemithorax. This technique may be a viable alternative to current regional anaesthetic techniques such as thoracic paravertebral and central neuraxial blockade, which can be technically more challenging and have a higher potential side‐effect profile. We performed the serratus block at two different levels in the midaxillary line on four female volunteers. We recorded the degree of paraesthesia obtained and performed fat‐suppression magnetic resonance imaging and three‐dimensional reconstructions of the spread of local anaesthetic in the serratus plane. All volunteers reported an effective block that provided long‐lasting paraesthesia (750–840 min). There were no side‐effects noted in this initial descriptive study. While these are preliminary findings, and must be confirmed in a clinical trial, they highlight the potential for the serratus plane block to provide analgesia following surgery on the thoracic wall. We suggest that this novel approach appears to be safe, effective, and easy to perform, and is associated with a low risk of side‐effects. This article is accompanied by an Editorial by Tighe and Karmakar, pp 1103–1106 of this issue.
Bibliografia:http://www.anaesthesiacorrespondence.com
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ISSN:0003-2409
1365-2044
1365-2044
DOI:10.1111/anae.12344