Serratus posterior superior intercostal plane block: A technical report on the description of a novel periparavertebral block for thoracic pain

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dc.authorid0000-0002-3245-6614
dc.authorid0000-0002-5539-2342
dc.authorid0000-0002-7041-399X
dc.authorid0000-0001-8057-5899
dc.contributor.authorTulgar, Serkan
dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorAhıskalıoğlu, Ali
dc.contributor.authorBilal, Bora
dc.contributor.authorŞakul, Bayram Ufuk
dc.contributor.authorKorkmaz, Ali Osman
dc.contributor.authorNalçacı Bozkurt, Nureda
dc.contributor.authorde Cassai, Alessandro
dc.contributor.authorTorres, Augusto J.
dc.contributor.authorElsharkawy, Hesham
dc.contributor.authorAlıcı, Hacı Ahmet
dc.date.accessioned2023-03-24T07:08:41Z
dc.date.available2023-03-24T07:08:41Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Algoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.description.abstractBackground and objectiveWe report a novel block technique aimed to provide thoracic analgesia: the serratus posterior superior intercostal plane (SPSIP) block.DesignA cadaveric evaluation along with a retrospective case series evaluating the potential analgesic effect of the SPSIP block. This study included one unembalmed cadaver and five patients. InterventionsBilateral ultrasound-guided SPSIP block was used on cadavers with 30 mL of methylene blue 0.5% on each side; single-injection SPSIP blocks were used in patients. To measure results, dye spread was used in the cadaver, and dermatomal/pain score evaluation was used in patients.Main resultsAnatomical investigation in one unembalmed cadaver shows that its mechanism of action covers the rhomboid major muscle, erector spinae muscle, the deep fascia of the subscapularis/serratus anterior muscles, and intercostal nerves. In our patients, SPSIP resulted in an almost complete sensory block in the back of the neck, shoulder, and hemithorax.ConclusionOur cadaveric study shows extensive dye spread from C7 to T7. Patients who were administrated SPSIP block reported consistent dermatomal blockade from C3 to T10 levels of the hemitorax. The SPSIP block seems to be a safe, simple, and effective technique for thoracic analgesia.
dc.identifier.citationTulgar, S., Çiftçi, B., Ahıskalıoğlu, A., Bilal, B., Şakul, B. U., Korkmaz, A. O. ... Alıcı, H. A. (2023). Serratus posterior superior intercostal plane block: A technical report on the description of a novel periparavertebral block for thoracic pain. Cureus Journal of Medical Science, 15(2). https://dx.doi.org/10.7759/cureus.34582
dc.identifier.doi10.7759/cureus.34582
dc.identifier.issn2168-8184
dc.identifier.issue2
dc.identifier.pmid36883093
dc.identifier.urihttps://dx.doi.org/10.7759/cureus.34582
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10685
dc.identifier.volume15
dc.identifier.wos000937435100009en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorŞakul, Bayram Ufuk
dc.institutionauthorKorkmaz, Ali Osman
dc.institutionauthorNalçacı Bozkurt, Nureda
dc.institutionauthorAlıcı, Hacı Ahmet
dc.language.isoen
dc.publisherCureus Inc
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectSerratus Posterior Superior Intercostal Plane Block
dc.subjectThoracic Analgesia
dc.subjectInterfascial Plane Block
dc.subjectCadaveric Study
dc.subjectPain Management
dc.titleSerratus posterior superior intercostal plane block: A technical report on the description of a novel periparavertebral block for thoracic pain
dc.typeArticle

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