S-ICD implantation under the serratus plane block and transversus thoracis muscle plane block. A clinical case

Roriz, D; Brandão, Joana; Graça, Rita; Caramelo, Susana; Correia, Carlos; Abrunhosa, R

doi:10.1016/j.redare.2020.11.013

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Cases of young patients who underwent transversus thoracis muscle plane block for S‐ICD implantation with a favorable outcome have been reported. Several studies propose its effectiveness in wall block for ICD implantation, 16 , 17 , 18 , 19 also reducing the implantation procedure time. 20 Cases of the use of this technique in the pediatric setting with a favorable outcome are described.…”

Section: Discussionmentioning

confidence: 99%

Serratus anterior plane block and postoperative pain control in obese patients undergoing S‐ICD implantation: A case series and literature analysis

Coletta,

Schettino,

Tomasello

et al. 2024

Clinical Case Reports

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Key Clinical MessageWe report five case series of obese patients with severe left ventricular ejection fraction impairment undergoing Serratus Anterior Plane Block during S‐ICD Implantation. This anesthesia approach has a reduced impact on the patient's hemodynamics and adequately manages postprocedural pain.AbstractSubcutaneous implantable cardioverter‐defibrillator (S‐ICD) procedures are frequently performed under analgosedation or general anesthesia, leading to prolonged postoperative hospital stays and increased costs. This anesthetic technique may also have a greater hemodynamic impact, particularly in obese and cardiac patients. However, an alternative anesthetic technique can be employed: ultrasound‐guided serratus anterior plane block (US‐SAPB). We analyzed the anesthetic clinical course in 5 patients, 3 males and 2 females, who were obese (BMI ≥ 30) and underwent S‐ICD implantation for primary prevention using a two‐incision intermuscular technique and ultrasound‐guided serratus anterior plane block. All patients had a left ventricular ejection fraction less than or equal to 35%. It significantly facilitated pain control during the procedure and, especially, in the postoperative phase. However, the data available in the literature are mostly derived from case reports and small comparative studies. Therefore, further studies with a larger sample size and direct comparison with general anesthesia or deep sedation are needed.

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Section: Discussionmentioning

confidence: 99%

Serratus anterior plane block and postoperative pain control in obese patients undergoing S‐ICD implantation: A case series and literature analysis

Coletta,

Schettino,

Tomasello

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Shariat et al [ 60 ] described using the SAP block and transversus thoracis plane block for S-ICD implantation in 22 patients with ASA grade III or IV along with simultaneous use of propofol infusion and low doses of fentanyl. Marrone et al [ 61 ] and Roriz et al [ 62 ] described using of SAP block combined with parasternal block and sedation for S-ICD implantation. Migliore et al [ 48 ], Droghetti et al [ 44 ], and Elders et al [ 63 ] described the use of SAP alone for S-ICD implantation using the intermuscular 2-incision technique with very good effect.…”

Section: Discussionmentioning

confidence: 99%

Regional Anesthesia for the Implantation of a Subcutaneous Implantable Cardioverter-Defibrillator Using Pectoserratus Plane Block and Superficial Serratus Anterior Plane Block

et al. 2023

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Background The combination of pectoserratus plane block (PSP) and superficial serratus anterior plane block (S-SAP) was established to reduce the risk of general anesthesia for subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation in patients with high operative risk (American Society of Anesthesiologists [ASA] grade III or IV). This study compared outcomes from ultrasound-guided PSP and S-SAP in 16 patients requiring a subcutaneous implantable cardioverter-defibrillator (S-ICD) at a single center in Poland. Material/Methods A group of 16 patients with ASA grade III and IV qualified for S-ICD implantation was included. The pain assessment using numerical rating scale (NRS), patient’s comfort using Quality of Recovery-15 (QoR-15), the operator’s satisfaction using Operator’s Comfort Scale, adverse event occurrence, and the parameters’ stability were evaluated. Results The mean volume of the local anesthetics mixture of PSP block was 19.4 mL; S-SAP was 34.7 mL (mean total volume, 54.1 mL). The mean duration of the block was 21.3 min; the mean time of the S-ICD implantation was 108.4 min. Neither circulatory nor respiratory instability was observed. In 8 patients (50%), non-opioid analgesics were administered intraoperatively; in 11 patients (69%), fentanyl bolus ≤200 μg was administered. The intraoperative NRS score was low (max 2 points); NRS 24 h after the procedure was low (max 4 points). The mean value of QoR-15 was 133.9 points. Conclusions S-SAP combined with PSP is feasible and safe in providing anesthesia/analgesia during S-ICD implantation and showed good effects in a group of patients with high operative risk (ASA III or IV).

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S-ICD implantation under the serratus plane block and transversus thoracis muscle plane block. A clinical case

Cited by 2 publications

References 5 publications

Serratus anterior plane block and postoperative pain control in obese patients undergoing S‐ICD implantation: A case series and literature analysis

Serratus anterior plane block and postoperative pain control in obese patients undergoing S‐ICD implantation: A case series and literature analysis

Regional Anesthesia for the Implantation of a Subcutaneous Implantable Cardioverter-Defibrillator Using Pectoserratus Plane Block and Superficial Serratus Anterior Plane Block

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