A narrative review of ultrasound-guided serratus anterior plane block

Abstract

third to sixth intercostal nerves, the long thoracic and thoracodorsal nerves. It has been used in breast surgeries, rib fractures, and thoracotomy to manage pain of the anterolateral chest wall. In this review, we briefly describe the anatomy, operation, drug selection, block range, and clinical application of SAPB. We present the following article in accordance with the Narrative Review reporting checklist (available at http://dx.

Bilateral continuous serratus anterior plane block: An effective alternative for bilateral multiple rib fracture analgesia

“…There is a theoretical possibility of local anesthetic toxicity and hematoma such as other interfacial plane blocks. [ 6 ] Pneumothorax is a potential complication, but under ultrasound guidance, it would be a remote possibility as the injection is far from the pleura between two muscles or above the rib. [ 5 6 ] Literature review attests to the safety of the technique.…”

“…[ 6 ] Pneumothorax is a potential complication, but under ultrasound guidance, it would be a remote possibility as the injection is far from the pleura between two muscles or above the rib. [ 5 6 ] Literature review attests to the safety of the technique. [ 5 6 ] The target area for injection can be either superficial to serratus muscle or one deep underneath it.…”

“…[ 5 6 ] Literature review attests to the safety of the technique. [ 5 6 ] The target area for injection can be either superficial to serratus muscle or one deep underneath it. [ 5 ] We chose the superficial plane as it is reported to provide a wider dermatomal coverage (T2–T9).…”

Effects of Nalbuphine Combined with Anterior Serratus Plane Block in Elderly Patients Undergoing Thoracoscopic Surgery

“…The aim of the SABP is on the T9 and T2 intercostal branches at the nerve system to augment Nalbuphine at the posterior chest walls. VATs are steadily adopting this technique, though there are a few yet randomized managed testing to back its utilization in this situation [ 5 ]. At present, the thoracoscopic surgery makes a comparison of the time, mostly within a period of 48 hours postoperatively to the overview of the analog pain notch (VAS) ≥4.01 between local infiltration Nalbuphine treatment and SABP.…”

An analysis on the adjuvant efficacy of intravenous or perineural administered dexamethasone in erector spina plane block applied to patients who had thoracotomy: a prospective randomized double-blind study

“…Thoracic surgeries, whether open or closed (video assisted), are among the most painful surgical procedures and necessitate effective analgesia (1). The pain that develops as a result of insufficient analgesia prevents the patient from breathing deeply and coughing, resulting in respiratory distress such as atelectasis, hypoxia, and pneumonia (2).…”