Department of Anesthesia and Intensive Care Unit, AORN Cardarelli, Naples, Italy.
Scand J Pain. 2021 Oct 14;22(2):417-420. doi: 10.1515/sjpain-2021-0134. Print 2022 Apr 26.
Chest trauma is associated with severe pain, which can hamper normal breathing. Serratus Anterior Plane block (SAPB) is a novel technique, which provides analgesia for chest wall surgery. We describe an interesting clinical case about the use of SAPB to improve pain and pulmonary function in a patient with severe chest trauma.
We report the pain management and the clinical evolution of a patient in ICU, with a severe chest trauma, after performing the SAPB. Following the SAPB, the patient had a reduction in pain intensity and an improvement in both respiratory mechanics and blood gas analysis allowing a weaning from mechanical ventilator.
Pain control greatly affects mortality and morbidity in patients with chest trauma. SAPB seems to be safer and equally effective in pain control compared to epidural analgesia in patients with chest trauma.
胸部创伤可引起剧烈疼痛，从而妨碍正常呼吸。胸肌前平面阻滞（SAPB）是一种用于胸壁手术的新型镇痛技术。我们描述了一个有趣的临床案例，即 SAPB 可改善严重胸部创伤患者的疼痛和肺功能。
我们报告了一例 ICU 患者严重胸部创伤后行 SAPB 的疼痛管理和临床转归。行 SAPB 后，患者疼痛强度减轻，呼吸力学和血气分析改善，从而成功脱机。
疼痛控制极大地影响了胸部创伤患者的死亡率和发病率。SAPB 在控制疼痛方面似乎比硬膜外镇痛更安全且同样有效，适用于胸部创伤患者。
