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Background: Thoracic injuries present many challenges for management in the acute and inpatient settings, including achieving appropriate pain control. Traditional modalities, such as opioids and spinal epidural anesthesia, are associated with multiple complications. Ultrasound-guided regional nerve blocks are becoming more prevalent, and they have been shown to be an effective modality of pain control for other traumatic injuries. Models comprised of animal tissue to simulate human anatomy are widely utilized to facilitate training of needle-guided procedures, but no such model for the serratus anterior plane block has yet been defined in the literature.
Objectives: Our goal was to produce a high-functionality serratus anterior plane block model with reasonable anatomic fidelity from low-cost materials.
Discussion: We describe the creation of an inexpensive high-functionality serratus anterior plane block model from common materials, including pork ribs and chicken breasts, to realistically simulate human anatomy, including multiple muscle and fascial planes, as well as to allow hydrodissection.
Conclusions: This model will facilitate training and can improve success when caring for patients with thoracic trauma.
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http://dx.doi.org/10.1016/j.jemermed.2019.09.004 | DOI Listing |
Rev Esp Anestesiol Reanim (Engl Ed)
September 2025
Department of Anesthesia and Surgical Intensive Care and pain management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Background And Aims: Ultrasound-guided deep serratus anterior plane (SAP) block has recently gained popularity as an analgesic technique in breast surgery. However, the effectiveness of ultrasound depends largely on the quality of the equipment used, and the technique can be complicated by patient-related factors such as obesity. We hypothesized that the simpler open approach to deep SAP block would be non-inferior to the ultrasound-guided approach in providing analgesia for modified radical mastectomy.
View Article and Find Full Text PDFAm J Surg
August 2025
Department of Anesthesiology, National Cheng Kung University Hospital, Tainan, Taiwan. Electronic address:
In this double-blinded, randomized controlled trial, sixty patients undergoing elective uniportal video-assisted thoracoscopic surgery (VATS) lobectomy were randomly assigned to receive thoracoscopic intercostal nerve block (ICNB, n = 30) or ultrasound-guided erector spinae plane block (ESPB, n = 30). No block-related adverse events occurred. The ICNB group showed significantly lower resting and coughing visual analog scale scores, than the ESPB group, 4 (4.
View Article and Find Full Text PDFGlobal Spine J
September 2025
Department of Neurosurgery, Brain and Spine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
DesignRandomized Controlled Trial.ObjectivePostoperative pain after lumbar spine surgery remains a clinical challenge. Fluoroscopy-guided erector spinae plane block (ESPB) has been proposed as a feasible technique for reducing pain and opioid use, particularly when ultrasound guidance is not available.
View Article and Find Full Text PDFPerfusion
September 2025
Department of Adult Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, UK.
IntroductionWe report the successful use of erector spinae (ESP) plane block in the management of a patient with severe respiratory failure secondary to chest trauma requiring invasive ventilation and Veno-venous extracorporeal membrane oxygenation (V-V ECMO).Case reportA 64-year-old man with flail chest and severe respiratory failure required V-V ECMO. An ESP plane block on day 3 enabled extubation, mobilisation, and secretion clearance, leading to ECMO weaning after six days and discharge 18 days post-injury.
View Article and Find Full Text PDFReg Anesth Pain Med
September 2025
Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Türkiye