Serratus-intercostal interfascial block as an opioid-saving strategy in supra-umbilical open surgery

Martín, M.T. Fernández; Álvarez, S. López; Herrero, María

doi:10.1016/j.redare.2018.08.005

Cited by 16 publications

(13 citation statements)

References 13 publications

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“…The diffusion of LA in this fascial plane blocks the cutaneous branches of the intercostal nerves, providing adequate analgesia for upper abdominal surgery. 3,4 Our results from 100 patients of satisfactory opioid-sparing 5 are confirmation that a thoracic block can be the solution to perioperative pain management in the upper abdominal wall. 6…”

mentioning

confidence: 58%

Serratus anterior plane block for upper abdominal incisions has been previously reported

Martín

Álvarez²,

Sebastián

2019

Anaesth Intensive Care

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We have read carefully the case report from Tiwari et al. entitled 'Serratus anterior plane block for upper abdominal incisions'. 1 They state there have not been any reports of this technique being used to provide analgesia for upper abdominal incisions, but this is not the case and their approach is not novel. A similar concept was described and published in 2015: 'The modified serratus-intercostal plane block as an analgesic technique in open cholecystectomy'. 2 Serratus-intercostal block (cutaneous branches block in the mid-axillary line) and serratus anterior plane block were described in 2013 as analgesic techniques in breast and thoracic-wall surgeries. Placing the local anaesthetic in the inter-fascial plane between the external intercostal and serratus anterior muscles or below the serratus anterior muscle, respectively,

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mentioning

confidence: 58%

Serratus anterior plane block for upper abdominal incisions has been previously reported

Martín

Álvarez²,

Sebastián

2019

Anaesth Intensive Care

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“…The local anesthetic spreads in the space between the serratus anterior muscle and the external intercostal muscle, blocking the cutaneous branches of the last intercostal nerves (T6–11). In reply to the letter from Hamilton and Manickam,3 through our study, we can affirm that a thoracic block (serratus-intercostal fascial plane block at the eighth rib: modified BRILMA) supposes an analgesic option saving opioids for upper abdominal surgery 4…”

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confidence: 72%

Reply to Dr Wanget al:serratus-intercostal block as opioids-saving strategy in supraumbilical surgery

Fernández

López²,

Ortigosa

2019

Reg Anesth Pain Med

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“…In contrast to the results obtained in our study, port-site infiltration and TAP block may have similar analgesic effects since the TAP block can be effective in the T7–12 dermatome region. The procedures on the supraumbilical area may involve the use of the interfacial plane or SIP blocks 6 , 20 . The M-TAPA block should be preferred over these blocks in LC because, to reduce the pain at the incision sites in LC, the anterior and lateral branches of the intercostal nerves must be blocked same time.…”

Section: Discussionmentioning

confidence: 99%

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

Erten,

Kara,

Şimşek

et al. 2024

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: A new block, namely, modified thoracoabdominal nerves block through perichondrial approach, is administered below the costal cartilage. We sought to compare the analgesic efficacy of the modified thoracoabdominal nerves block through perichondrial approach block with local anesthetic infiltration at the port sites in an adult population who underwent laparoscopic cholecystectomy. METHODS: Patients who will undergo laparoscopic cholecystectomy were randomized to receive bilateral ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach blocks or local anesthetic infiltration at the port insertion sites. The primary outcome was the total amount of tramadol used in the first 12 h postoperatively. The secondary outcomes were total IV tramadol consumption for the first postoperative 24 h and visual analog scale scores. RESULTS: The modified thoracoabdominal nerves block through perichondrial approach group had significantly less tramadol use in the first 12 h postoperatively (p<0.001). The modified thoracoabdominal nerves block through perichondrial approach group's visual analog scale scores at rest (static) and with movement (dynamic) were significantly lower compared with the port infiltration group (p<0.05). CONCLUSION: Patients who received modified thoracoabdominal nerves block through perichondrial approach block had significantly less analgesic consumption and better pain scores than those who received port-site injections after laparoscopic cholecystectomy.

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Serratus-intercostal interfascial block as an opioid-saving strategy in supra-umbilical open surgery

Cited by 16 publications

References 13 publications

Serratus anterior plane block for upper abdominal incisions has been previously reported

Serratus anterior plane block for upper abdominal incisions has been previously reported

Reply to Dr Wanget al:serratus-intercostal block as opioids-saving strategy in supraumbilical surgery

Modified thoracoabdominal nerves block through perichondrial approach for laparoscopic cholecystectomy

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