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Ultrasound-Guided Serratus Anterior Plane Block Can Help Avoid Opioid Use for Patients with Rib Fractures

By Arun Nagdev, MD; Daniel Mantuani, MD, MPH; Edward Durant, MD; & Andrew Herring, MD | on March 14, 2017 | 6 Comments
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Dr. Herring is associate research director at Highland Hospital.

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ACEP Now: Vol 36 – No 03 – March 2017

References

  1. Durant E, Dixon B, Luftig J, et al. Ultrasound-guided serratus plane block for ED rib fracture pain control. Am J Emerg Med. 2017;35(1):197.e3-197.e6.
  2. May L, Hillermann C, Patil S. Rib fracture management. BJA Education. 2016;16(1):26-32.
  3. Bergeron E, Lavoie A, Clas D, et al. Elderly trauma patients with rib fractures are at greater risk of death and pneumonia. J Trauma. 2003;54(3):478-485.
  4. Karmaker MK, Ho AM. Acute pain management of patients with multiple fractured rib. 2003;54(3):615-625.
  5. Blanco R, Parras T, McDonnell JG, et al. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block. Anesthesia. 2013;68(11):1107-1113.

Pages: 1 2 3 4 | Single Page

Topics: ClinicalDiagnoseED Critical CareEmergency DepartmentEmergency MedicineEmergency PhysiciansfractureOpioid CrisisRibSerratus Anterior PlaneTrauma & InjuryUltrasound & Imaging

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6 Responses to “Ultrasound-Guided Serratus Anterior Plane Block Can Help Avoid Opioid Use for Patients with Rib Fractures”

  1. April 3, 2018

    Santi Di Pietro Reply

    Congratulations for the article! Clear and complete… how should I cite it in a scientific research?

    Sincerely
    Santi Di Pietro
    Junior EM Resident,
    University of Pavia

    • April 9, 2018

      Dawn Antoline-Wang Reply

      The citation for this article is:

      Nagdev A, Mantuani D, Durant E, Herring A. The ultrasound-guided serratus anterior plane block. ACEP Now. 2017;36(3):12-13.

  2. August 14, 2018

    Jonathan Cheung Reply

    Is this plane block effective as a one-off procedure or do you often need to repeat it later?

  3. May 9, 2020

    Dr.S.Radhakrishna Reply

    Thank you for this useful article. The figure 2 shows the vertebra pointing in the wrong direction. The spinous process should point posteriorly and the body anteriorly. An error?

  4. March 23, 2021

    Dr Maya Dehran Reply

    Thanks for sharing the very useful simple technique to treat the severe pain of chest injury.

  5. January 18, 2022

    DAVID CAMPELL, MD Reply

    How long does this block last before it has to be repeated to maintain pain control?

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