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- Christopher J Maranto, Natalie R Strickland, and Johnathan H Goree.
- From the University of Arkansas for Medical Sciences, Little Rock, Arkansas.
- A A Pract. 2018 Nov 1; 11 (9): 236-237.
AbstractPostmastectomy pain syndrome poses a significant treatment challenge. We present the case of a 42-year-old woman who presented to our pain clinic with a 16-month history of postmastectomy pain. We performed a combined superficial and deep serratus plane block using bupivacaine, dexamethasone, and clonidine. At 1-month follow-up, the patient had 100% pain relief. At 2-month follow-up, her pain was 5/10. The block was repeated with the same drugs at 3 months with similar pain relief. This case illustrates the utility of a combined superficial and deep serratus plane block in postmastectomy pain syndrome with a possible benefit from added dexamethasone and clonidine.
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