Ultrasound Guided Serratus Anterior Blocks

Autor: Southgate SJ; University of Connecticut, Herbst MK; University of Connecticut
Jazyk: angličtina
Zdroj: 2022 Jan.
Abstrakt: Approximately 10% of injured patients presenting to the emergency department (ED) demonstrate rib fractures. Rib fractures are associated with significant morbidity and mortality, especially in the elderly. Pulmonary complications, including pneumonia, often become apparent 2 or 3 days after injury, when respiratory function is compromised, secondary to pain. Therefore, effective analgesia is an important component of rib fracture management. Intravenous opioids are a mainstay of treatment but have side effects, including respiratory depression, depressed cough reflex, and delirium in the elderly. The serratus anterior plane block (SAPB) is an alternative that has become popular due to its efficacy, relative ease, and limited side-effect profile.
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Databáze: MEDLINE