Serratus-intercostal plane block for breast surgery in pregnant women

Vasco-Blázquez, Álvaro; Avello-Taboada, Rodrigo; Sanllorente-Sebastián, Rodrigo; González-Barrera, Victoria; Arroyo-García, Begoña; Balzategi-Urrutia, Ainhoa

doi:10.23736/s0375-9393.19.13823-0

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…On the other hand, the SII/SIP block [23][24][25][26] can also block the lateral cutaneous branches of the thoracoabdominal nerves from T7 to T11. It involves local anesthetic injection into the fascial plane between the serratus anterior and external intercostal muscles on the mid axillary line.…”

Section: Discussionmentioning

confidence: 99%

“…The block is achieved by single injection at the level of the 8th rib 23 or by multiple injections of a small dose (3 mL) for each target dermatome. [24][25][26] These blocks, including the EOFP and EOI blocks, are performed on the chest wall, so the anesthesia extended from the thoracic to the upperumbilical area. We believed that the costal and lateral EXOP blocks are reasonable procedures for abdominal surgery because the anesthetized area is restricted to the abdominal region after the EXOP blocks.…”

Section: Discussionmentioning

confidence: 99%

“…The external oblique fascial plane (EOFP) block 21 and the external oblique intercostal (EOI) block 22 involve local anesthetic injection deep to the external oblique muscle at the level of the sixth rib. The serratus-intercostal interfascial (SII)/serratus-intercostal plane (SIP) block [23][24][25][26] is achieved by local anesthetic injection into the fascial plane between the serratus anterior and external intercostal muscles on the mid axillary line. These techniques anesthetize the lateral cutaneous branches from the thoracic to the upper-umbilical area.…”

Section: Abstract Abdominal Wall á Anesthesia á External Oblique Musc...mentioning

confidence: 99%

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Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers

Ohgoshi

Koyanagi²,

Ando³

et al. 2022

Can J Anesth/J Can Anesth

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Purpose No reports have described techniques to efficiently anesthetize the lateral cutaneous branches of the entire abdomen. The aim of this study was to investigate an effective procedure for blocking the lateral cutaneous branches in the abdominal region. We sought to describe the sensory distribution of the previously described thoracoabdominal nerve block through perichondrial approach (TAPA) and the novel costal and lateral external oblique muscle plane (EXOP) blocks in healthy volunteers. Methods This was a proof-of-concept pilot study that comprised ten volunteers with an American Society of Anesthesiologists Physical Status I. The participants

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Abstract Abdominal Wall á Anesthesia á External Oblique Musc...mentioning

confidence: 99%

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Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers

Ohgoshi

Koyanagi²,

Ando³

et al. 2022

Can J Anesth/J Can Anesth

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External oblique muscle plane blocks in combination with modified thoracoabdominal nerves block through perichondrial approach for analgesia in abdominal surgery: A case report

Ohgoshi,

Mizuguchi-Tate,

Kawagoe

2023

Saudi Journal of Anaesthesia

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The costal and lateral external oblique muscle plane (EXOP) blocks anesthetize the lateral cutaneous branches, whereas the modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) anesthetizes the anterior branches of the thoracoabdominal nerves. Herein, we report two cases of successful perioperative pain management with the combination of these blocks: case 1 was a 67-year-old man who underwent open cholecystectomy and case 2 was a 38-year-old woman who underwent emergency laparoscopic surgery for strangulation ileus. Both patients were administered the costal and/or lateral EXOP blocks along with bilateral M-TAPA for perioperative analgesia. A pin-prick test performed 1 h after surgery revealed that the cutaneous sensory block covered all areas of the abdominal surgical field. Combined use of these blocks can be a new local analgesic strategy for abdominal surgery.

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Serratus-intercostal plane block for breast surgery in pregnant women

Cited by 2 publications

References 3 publications

Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers

Novel external oblique muscle plane block for blockade of the lateral abdominal wall: a pilot study on volunteers

External oblique muscle plane blocks in combination with modified thoracoabdominal nerves block through perichondrial approach for analgesia in abdominal surgery: A case report

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