Department of Anesthesiology and Reanimation, Istanbul Medipol University, Mega Medipol University Hospital, No: 1 Bağcılar, Istanbul, 34040, Turkey.
BMC Anesthesiol. 2024 Apr 25;24(1):159. 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.
锯肌间平面阻滞（SPSIPB）是一种新型的椎旁阻滞技术，可提供前胸侧壁的前外侧镇痛。它是一种在超声引导下进行的筋膜间平面阻滞，标志的可视化较为容易。阻滞操作在第三肋骨水平的上后锯肌的深部进行。到目前为止，已经有关于单次 SPSIPB 使用的病例报告，但没有关于 SPSIPB 阻滞导管技术使用的报告。对于胸部和心脏等疼痛手术等手术后镇痛管理，来自筋膜间平面阻滞导管的连续输注非常重要。因此，我们对接受微创胸腔镜手术切除右心房肿块的患者进行了 SPSIPB 导管插入术。在这里，我们在这个病例报告中介绍了我们在连续 SPSIPB 方面的成功镇痛经验。
