"A tale of two planes": Deep versus superficial serratus plane block for postmastectomy pain syndrome Journal Article

  

Authors:	Piracha, M. M.; Thorp, S. L.; Puttanniah, V.; Gulati, A.
Article Title:	"A tale of two planes": Deep versus superficial serratus plane block for postmastectomy pain syndrome
Abstract:	Introduction: Postmastectomy pain syndrome (PMPS) is a significant burden for breast cancer survivors. Although multiple therapies have been described, an evolving field of serratus anterior plane blocks has been described in this population.We describe the addition of the deep serratus anterior plane block (DSPB) for PMPS. Methods: Four patients with history of PMPS underwent DSPB for anterior chest wall pain. A retrospective reviewof these patients' outcomes was obtained through postprocedure interviews. Results: Three of the patients previously had a superficial serratus anterior plane block, which was not as efficacious as the DSPB. The fourth patient had a superficial serratus anterior plane that was difficult to separate with hydrodissection but had improved pain control with a DSPB. Conclusions: We illustrate 4 patients who have benefitted from a DSPB and describe indications that this block may be more efficacious than a superficial serratus plane block. Further study is recommended to understand the intercostal nerve branches within the lateral and anterior muscular chest wall planes. © 2017 American Society of Regional Anesthesia and Pain Medicine.
Journal Title:	Regional Anesthesia and Pain Medicine
Volume:	42
Issue:	2
ISSN:	1098-7339
Publisher:	BMJ Publishing Group Ltd.
Date Published:	2017-03-01
Start Page:	259
End Page:	262
Language:	English
DOI:	10.1097/aap.0000000000000555
PROVIDER:	scopus
PUBMED:	28079733
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013760950&doi=10.1097%2fAAP.0000000000000555&partnerID=40&md5=88be67c73fbcd3f4c3951d4efd23d28f
Notes:	Article -- Export Date: 3 April 2017 -- Source: Scopus

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