Continuous serratus posterior superior intercostal plane block for postoperative analgesia management in the patient who underwent right atrial mass excision: a case report

• Published in: BMC anesthesiology Vol. 24; no. 1; pp. 159 - 5
• Main Authors: Akin, Ayşe Nurmen, Yildiz, Yahya, Alver, Selcuk, Ciftci, Bahadir
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 25.04.2024; BioMed Central; BMC
• Subjects: Analgesia; Analgesics; Bupivacaine; Case Report; Case reports; Catheterization; Catheters; Chronic illnesses; Continuous infusion; Female; Flying-machines; Heart Atria - surgery; Heart Neoplasms - surgery; Heart surgery; Humans; Intercostal Nerves; Intubation; Male; Middle Aged; Minimally invasive cardiac surgery; Narcotics; Nerve Block - methods; Ostomy; Pain management; Pain, Postoperative - drug therapy; Pain, Postoperative - prevention & control; Patients; Postoperative analgesia management; Regional anesthesia; Serratus posterior intercostal plane block; Surgery; Thoracotomy - methods; Thorax; Ultrasonography, Interventional - methods; Postoperative analgesia management; Continuous infusion; Serratus posterior intercostal plane block; Minimally invasive cardiac surgery
• ISSN: 1471-2253; 1471-2253
• DOI: 10.1186/s12871-024-02535-4

Serratus posterior intercostal plane block (SPSIPB) is a novel periparavertebral block. It provides anterolateral posterior chest wall analgesia. It is an interfascial plane block, performed under ultrasound guidance, and the visualization of landmarks is easy. It is performed deep into the serratus posterior superior muscle at the level of the third rib. Until now, there have been case reports about the usage of single-shot SPSIPB, but there are no reports about the usage of the block catheterization technique of SPSIPB. Continuous infusion from a catheter of interfascial plane blocks is important for postoperative analgesia management after painful surgeries such as thoracic and cardiac surgeries. Thus, we performed SPSIPB catheterization in a patient who underwent right atrial mass excision with minimally invasive thoracotomy surgery. Here, we present our successful analgesic experience with continuous SPSIPB in this case report.