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May 24, 2018Regional Anesthesia & Pain Medicine

Use of Serratus Plane Block for Repair of Coarctation of Aorta

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Key result

Ultrasound-guided serratus plane block provided effective thoracotomy analgesia in 3 pediatric patients undergoing coarctation repair, facilitating immediate extubation without additional intraoperative opioids.

Why the study?

Does ultrasound-guided serratus plane block improve perioperative analgesia and facilitate early extubation in pediatric patients undergoing coarctation repair?

Population

3 pediatric patients undergoing coarctation of aorta repair via thoracotomy

Design

Case_series

Follow-up

Until hospital discharge

Authors

ABAbhijit BiswasWestern UniversityILIgor LuginbuehlUniversity of TorontoESElöd Z. SzabóHospital for Sick Children

Discussion

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Member takes

Implication

Serratus plane block may simplify thoracotomy analgesia in infants; leaves open its efficacy and safety pending controlled trials.

Study Design

Type

Case Report (n=3)

Multicenter

No

Structured PICO

Does ultrasound-guided serratus plane block improve perioperative analgesia and facilitate early extubation in pediatric patients undergoing coarctation repair?

P
Population
3 pediatric patients (aged 3 days to 4 years, weighing 1.9 to 16 kg) undergoing coarctation repair who received an ultrasound-guided serratus plane block.
I
Intervention
Ultrasound-guided serratus plane block performed prior to surgical incision
O
Outcome
Perioperative analgesia (intraoperative and postoperative opioid requirements, time to extubation, duration of intensive care and hospital stay)

Serratus plane block is a simple and potentially effective regional anesthesia technique for pediatric patients undergoing thoracotomy for coarctation repair, facilitating early extubation and reducing opioid requirements.

Cite This Study

Biswas et al. (2018) conducted a case report in Coarctation of aorta (n=3). Ultrasound-guided serratus plane block was evaluated on Thoracotomy analgesia and extubation time. Ultrasound-guided serratus plane block provided effective thoracotomy analgesia in 3 pediatric patients undergoing coarctation repair, facilitating immediate extubation without additional intraoperative opioids.

synapsesocial.com/papers/6a9ff1b35c15613396ec7cf3https://doi.org/10.1097/aap.0000000000000801
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Report of Two Hundred Twenty Cases of Regional Anesthesia in Pediatric Cardiac Surgery2000 · 138 citations
  2. 2Thoracic Epidural Anesthesia for Cardiac Surgery: The Effects on Tracheal Intubation Time and Length of Hospital Stay2002 · 130 citations
  3. 3Early Perioperative Management After Pediatric Cardiac Surgery2015 · 4 citations
  4. 4Serratus plane block: a novel ultrasound‐guided thoracic wall nerve block2013 · 993 citations