Department of Anaesthesiology and Reanimation, Sivas Cumhuriyet University School of Medicine, Sivas, Turkiye.
J Coll Physicians Surg Pak. 2024 Mar;34(3):348-350. doi: 10.29271/jcpsp.2024.03.348.
Serratus posterior superior intercostal plane block (SPSIPB) is a novel technique that provides analgesia in shoulder, hemithorax and in the back of the neck. In this study, the efficacy of this block on postoperative pain and quality of recovery is reported in ten consecutive patients who had undergone reduction mammoplasty. Blocks were performed bilaterally with 30 ml 0.25 % bupivacaine for each side, at the end of surgery. Cumulative tramadol consumption and numerical rating scale (NRS) scores during rest (static) and coughing (dynamic) were assessed within the first postoperative 24 hours. Mean total tramadol consumption was 39 ±9.94 mg. NRS scores above 4 were observed in 5 patients in the dynamic NRS assessment at the postoperative 1st hour, while static and dynamic NRS scores were ≤4 at other durations. SPSIPB may play a part in postoperative multimodal analgesia following mammoplasty in the future and may reduce total analgesic consumption. Key Words: Serratus posterior superior intercostal plane block, Reduction mammoplasty, Breast surgery, Postoperative analgesia.
上后锯肌肋间平面阻滞（SPSIPB）是一种新的技术，可提供肩部、半胸部和颈部后部的镇痛。在这项研究中，报告了在连续 10 例接受乳房缩小术的患者中，该阻滞在术后疼痛和恢复质量方面的效果。在手术结束时，双侧各用 30ml0.25%布比卡因进行阻滞。在术后 24 小时内评估曲马多的累积消耗量和静息（静态）和咳嗽（动态）时的数字评分量表（NRS）评分。曲马多的总消耗量平均为 39±9.94mg。在术后 1 小时的动态 NRS 评估中，有 5 名患者的 NRS 评分高于 4，而在其他时间点，静态和动态 NRS 评分均≤4。SPSIPB 可能在未来的乳房缩小术后多模式镇痛中发挥作用，并可能减少总镇痛消耗。关键词：上后锯肌肋间平面阻滞、乳房缩小术、乳房手术、术后镇痛。
