Ultrasound-guided serratus plane block for ED rib fracture pain control

Durant, Edward; Dixon, Brittany; Luftig, Josh; Mantuani, Daniel; Herring, Andrew A.

doi:10.1016/j.ajem.2016.07.021

Cited by 80 publications

(56 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…described the SPB technique in 2013, numerous studies have described SPB for postoperative pain management (eg, post‐thoracotomy or post‐mastectomy) with good results on analgesia without complications . Few case reports, however, have described SPB in blunt chest trauma with good analgesia effectiveness …”

Section: Discussionmentioning

confidence: 99%

“…described the serratus plane block (SPB) as a new technique for chest wall analgesia . While this technique has been widely studied in postoperative settings, there have been few clinical cases showing its utility in the management of rib fractures after blunt chest trauma . In these clinical cases, different conditions of use have been described: single injection, catheter placement with continuous injection, or catheter placement with repeated injections.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Serratus Plane Block Is Effective for Pain Control in Patients With Blunt Chest Trauma: A Case Series

et al. 2019

View full text Add to dashboard Cite

Background Rib fractures occur frequently following blunt chest trauma and induce morbidity and mortality. Analgesia is a cornerstone for their management, and regional analgesia is one of the tools available to reach this objective. Epidural and paravertebral blocks are the classical techniques used, but the serratus plane block (SPB) has recently been described as an effective technique for thoracic analgesia. Methods This case series reported and analyzed 10 consecutive cases of SPB for blunt chest trauma analgesia in a level 1 trauma center from May to October 2018. SPB was performed with either a single shot of local anesthetic or a catheter infusion. Results Ten patients were treated with 3 single shots and 7 catheter infusions (median length 3 days [interquartile range (IQR) 2.5 to 3.5]). The Median Injury Severity Score was 16 (IQR 16 to 23), and the number of broken ribs ranged from 3 to 22. Daily equivalent oral morphine consumption was significantly decreased after SPB from 108 mg (IQR 67 to 120) to 19 mg (IQR 0 to 58) (P = 0.015). The Numeric Pain Rating Scale (NPRS) score during cough was significantly decreased from 7.3 (IQR 5.3 to 8.8) to 4 (IQR 3.6 to 4.6) (P = 0.03). The NPRS score at rest remained unchanged. One complication occurred, due to a catheter section. Conclusions The SPB technique (with or without catheter insertion) in 10 patients who had blunt chest trauma with rib fractures is effective for cough pain control, with a significant decrease in morphine consumption.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Serratus Plane Block Is Effective for Pain Control in Patients With Blunt Chest Trauma: A Case Series

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The availability of ultrasound has also allowed newer techniques to be developed and the serratus anterior block 16,17 shows promise. By depositing a large volume of local anaesthetic in the plane between the serratus anterior and latissimus dorsi, the lateral branches of the intercostal nerves are anaesthetised as they pass between the muscle layers.…”

Section: Local Anaesthetic-based Techniquesmentioning

confidence: 99%

Enhanced recovery programmes in thoracic surgery: how does the future look?

2018

View full text Add to dashboard Cite

“…Sir—In recent years, the armamentarium of regional anesthesia has seen the introduction of newer techniques, such as fascial plane blocks . Practitioners should maximize the usage of regional techniques such as intercostal, thoracic paravertebral, or epidural nerve blocks for patients with postsurgical chest wall pain; such techniques provide analgesia, decrease incidence of chronic pain, and lower opioid use.…”

mentioning

confidence: 99%