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Clinical Application of Ultrasound-Guided Serratus Anterior Plane Block: Two Cases

 Sai Ju Seo  ;  Do-Hyeong Kim  ;  Duck Mi Yoon  ;  Kyung Bong Yoon 
 International Journal of Pain, Vol.5(1) : 54-59, 2014 
Journal Title
 International Journal of Pain 
Issue Date
block ; nerve ; chronic pain ; thoracic wall
Ultrasound guided serratus plane block (SPB) which is performed on the interfascial plane between serratus ansterior and latissimus dorsi muscle has recently been described as a regional anesthetic technique to provide analgesia to the anterolateral chest wall. It provides analgesia of hemithorax via blockade of the lateral cutaneous branches of the thoracic intercostal nerves that pierce serratus anterior. In this case report, we applied ultrasound guided SPB to two patients. One was a patient who complained wide range of anterolateral chest pain due to chest wall pain syndrome, and had low platelet due to alcoholic liver cirrhosis. The other was a patient who complained lateral chest wall pain due to herpes zoster, and couldn't discontinue antiplatelet therapy due to recent percutaneous transluminal coronary angioplasty. In both cases, ultrasound guided SPB has some advantages than established thoracic regional block including multilevel intercostal nerve block, thoracic paravertebral block and epidural block. It provides wide range of analgesia with single injection. It is safer and easier to perform by using ultrasound. It could provide analgesia without hemodynamic instability. This technique could be a good alternative to established regional block in patient with wide range of unilateral chest wall pain, cardiovascular disease and bleeding tendency.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Hyeong(김도형) ORCID logo https://orcid.org/0000-0003-2018-8090
Seo, Sai Ju(서세주)
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
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