From the Norton Children's Hospital, University of Louisville, Louisville, KY.
Pediatr Emerg Care. 2022 Aug 1;38(8):406-408. doi: 10.1097/PEC.0000000000002663. Epub 2022 Feb 21.
Chest tube placement is a common procedure in the pediatric emergency department. There is general emergency medicine literature as well as pediatric cardiac surgery literature supporting the use of an ultrasound-guided serratus anterior plane block for regional anesthesia with no prior pediatric emergency medicine studies to our knowledge. This case describes a pediatric patient who required chest tube placement twice for a pneumothorax and describes his preference for the nerve block over the more commonly used procedural sedation.
胸腔引流管放置是儿科急诊室的常见操作。现有一般急救医学文献和小儿心脏外科学文献均支持使用超声引导下前锯肌平面阻滞进行区域麻醉，据我们所知，尚无儿科急救医学研究。本病例描述了一名因气胸而需要两次放置胸腔引流管的儿科患者，并描述了他对神经阻滞的偏好，而不是更常用的镇静程序。
