Case reports demonstrate enhanced analgesia using serratus posterior superior intercostal plane block in children, suggesting its value in multimodal pain relief strategies.
Effective postoperative pain management in pediatric thoracic surgery remains challenging. We present 2 cases where the serratus posterior superior intercostal plane block (SPSIPB) was combined with other fascial plane blocks to enhance analgesia. In a 10-year-old undergoing thoracoscopic hydatid cyst excision, serratus anterior plane block plus SPSIPB provided analgesia for 24 hours. In a 2-year-old undergoing thoracoscopic neuroblastoma resection, subtransverse process interligamentary plane block plus SPSIPB delayed analgesic need until the nineth postoperative hour. These cases suggest that SPSIPB is a valuable adjunct in multimodal pediatric thoracic analgesia strategies.
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Özen et al. (2026) studied this question.
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