Ultrasound-Guided Serratus Anterior Plane Block in Breast Reconstruction Surgery
2016; Wolters Kluwer Health; Volume: 6; Issue: 9 Linguagem: Inglês
10.1213/xaa.0000000000000297
ISSN2325-7237
AutoresRakhi Khemka, Arunangshu Chakraborty, Rosina Ahmed, Taniya Datta, Sanjit Agarwal,
Tópico(s)Nausea and vomiting management
ResumoPecs block and its variations have been used for various breast surgeries. We describe 2 cases of mastectomy and breast reconstruction by latissimus dorsi (LD) flap where regional analgesia was provided by a combination of ultrasound-guided Pecs-I block and serratus anterior plane block, a recently described technique in which local anesthetic is deposited in the plane between the LD and serratus anterior muscle. This resulted in excellent intraoperative and postoperative analgesia and a minimum of systemic analgesics. The described technique is safe to administer and provides good analgesia for breast reconstruction surgery by LD flap.
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