Abstract
Abstract
Background
Postoperative 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.
Case
We 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.
Conclusion
SAP block can be used as one of the modalities in managing the pain of MRM surgery.
Publisher
Springer Science and Business Media LLC
Subject
Anesthesiology and Pain Medicine
Reference11 articles.
1. Piracha MM, Thorp SL, Puttanniah V, Gulati A. “A tale of two planes” deep versus superficial serratus plane block for postmastectomy pain syndrome. Reg Anesth Pain Med. 2017;42(2):259–62.
2. Chen G, Li Y, Zhang Y, Fang X. Effects of serratus anterior plane block for postoperative analgesia after thoracoscopic surgery compared with local anesthetic infiltration: a randomized clinical trial. J Pain Res. 2019;12:2411–7.
3. Blanco R, Parras T, McDonnell JG, Prats-Galino A. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anaesthesia. 2013;68(11):1107–13.
4. Rahimzadeh P, Imani F, Faiz SHR, Boroujeni BV. Impact of the ultrasound-guided serratus anterior plane block on post-mastectomy pain: a randomised clinical study. Turk Anesteziyoloji ve Reanimasyon Dern Derg. 2018;46(5):388–92.
5. Hadzic A. Hadzic’s textbook of regional anesthesia and acute pain management. 2nd ed. United States: McGraw-Hill; 2017. p. 580–600.
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