Serratus anterior plane block in modified radical mastectomy surgery: a case series

JA Clinical Reports

Madonna Damayanthie Datu¹  Jokevin Prasetyadhi² 

[1] Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Hasanuddin University/ RSUP Dr. Wahidin Sudirohusodo, Jl. Perintis Kemerdekaan KM. 11, 90245, Makassar, Tamalanrea, Indonesia;Faculty of Medicine, Hasanuddin University, Makassar, Indonesia;

关键词: Analgesia;    Bupivacaine;    Mastectomy;    Nerve block;    Pain;    Serratus anterior plane block;    Ultrasonography;   

DOI  :  10.1186/s40981-020-00373-0

来源: Springer

【 摘 要 】

BackgroundPostoperative breast pain may lead to poorer outcome if left untreated. Common analgesia modalities for postoperative breast pain include opioids and regional anesthesia. However, both of these modalities can cause significant side effects or complications. Serratus anterior plane (SAP) block is a new procedure that is relatively easier to perform and safer, compared with other modalities. Previous studies have reported its usefulness in reducing the need for both intraoperative and postoperative opioids.CaseWe reported 2 patients that underwent SAP block combined with general anesthesia in modified radical mastectomy (MRM). Patient 2 was given rescue analgesia during the intraoperative period. The administration of postoperative opioids did not exceed 24 h in both patients. Pain assessment using numeric rating scale (NRS) showed minimal postoperative pain. No side effects were found during 24-h monitoring period.ConclusionSAP block can be used as one of the modalities in managing the pain of MRM surgery.

【 授权许可】

CC BY