Articles: nerve-block.
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Minerva anestesiologica · Oct 2019
Letter Case ReportsDexamethasone as a local anesthetic adjuvant in bilateral ultrasound guided erector spinae plane block can provide a long-lasting analgesia in laparotomic abdominal surgery.
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Minerva anestesiologica · Oct 2019
Letter Case ReportsThe association of erector spinae plane block and ultrasound guided dry needling could be a winning strategy for long-term relief of chronic musculoskeletal pain.
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Minerva anestesiologica · Oct 2019
Letter Case ReportsFascial plane blocks and peripheral nerve blocks: two planets not so far apart.
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Reg Anesth Pain Med · Sep 2019
Refining a great idea: the consolidation of PECS I, PECS II and serratus blocks into a single thoracic fascial plane block, the SAP block.
The popularity of ultrasound-guided nerve blocks has impacted the practice of regional anesthesia in profound ways, improving some techniques and introducing new ones. Some of these new nerve blocks are based on the concept of fascial plane blocks, in which the local anesthetic is injected into a plane instead of around a specific nerve. Pectoralis muscles (PECS) and serratus blocks, most commonly used for post op analgesia after breast surgery, are good examples. ⋯ After a comprehensive review of the evidence we have concluded that (1) the traditional model of sensory innervation of the chest wall, which derives from the lateral branches of the upper intercostal nerves and does not include branches of the brachial plexus, is correct. (2) PECS/serratus blocks share the same mechanism of action, blocking the lateral branches of the upper intercostal nerves, and so their varied success is tied to their ability to reach them. This common mechanism agrees with the traditional innervation model. (3) A common mechanism of action supports the consolidation of PECS/serratus blocks into a single thoracic fascial plane block with a point of injection closer to the effector site. In a nod to transversus abdominus plane block, the original inspiration for PECS blocks, we propose naming this modified block, the serratus anterior plane block.