Ultrasound-Guided Serratus Anterior Plane Block in Breast Reconstruction Surgery. Issue 9 (1st May 2016)

• Record Type: Journal Article
• Authors: Khemka, Rakhi; Chakraborty, Arunangshu; Ahmed, Rosina; Datta, Taniya; Agarwal, Sanjit
• Is Part Of: A & A case reports. Volume 6:Issue 9(2016:May)
• Publication Date: 2016-05-01
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000297
• Languages: English
• ISSNs: 2325-7237

Abstract

Abstract : Pecs block and its variations have been used for various breast surgeries. We describe 2 cases of mastectomy and breast reconstruction by latissimus dorsi (LD) flap where regional analgesia was provided by a combination of ultrasound-guided Pecs-I block and serratus anterior plane block, a recently described technique in which local anesthetic is deposited in the plane between the LD and serratus anterior muscle. This resulted in excellent intraoperative and postoperative analgesia and a minimum of systemic analgesics. The described technique is safe to administer and provides good analgesia for breast reconstruction surgery by LD flap.