Korean J Anesthesiol.  2019 Oct;72(5):500-503. 10.4097/kja.d.18.00257.

Serratus anterior plane block combined with monitored anesthesia care for surgery of lateral side of breast: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Gangneung, Korea. hsyang@amc.seoul.kr
  • 2Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
In breast surgery, regional anesthesia rather than primary anesthesia has been mainly used for postoperative analgesia. Serratus anterior plane block is a new method for ultrasound-guided thoracic wall block. It is less invasive and relatively safer than conventional regional anesthetic techniques. CASE: We report a case of breast surgery under serratus anterior plane block as primary anesthesia with monitored anesthesia for a 78-year-old patient with a medical history of cardiopulmonary resuscitation due to stress-induced cardiomyopathy caused by pneumonia.
CONCLUSIONS
Serratus anterior plane block might be simple and effective technique for breast surgery when a lesion is located on lateral side.

Keyword

Breast surgery; Monitored anesthesia care; Serratus anterior plane block

MeSH Terms

Aged
Analgesia
Anesthesia*
Anesthesia, Conduction
Breast*
Cardiomyopathies
Cardiopulmonary Resuscitation
Humans
Methods
Pneumonia
Thoracic Wall

Cited by  1 articles

Evaluation of postoperative pain in patients undergoing modified radical mastectomy with pectoralis or serratus-intercostal fascial plane blocks
Ushkiran Kaur, Chetna Shamshery, Anil Agarwal, Neel Prakash, Ramya Chakrapani Valiveru, Prabhaker Mishra
Korean J Anesthesiol. 2020;73(5):425-433.    doi: 10.4097/kja.20159.

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