sábado, 20 de septiembre de 2014

Bloqueo del plano del serrato/Serratus plane block

Bloqueo del plano del Serrato: una novedosa técnica guiada con US para bloquear nervios de la pared torácica


Serratus plane block: a novel ultrasound-guided thoracic wall nerve block.
Blanco R, Parras T, McDonnell JG, Prats-Galino A.
Anaesthesia. 2013 Nov;68(11):1107-13. doi: 10.1111/anae.12344. Epub 2013 Aug 7.
Abstract
We present a novel ultrasound-guided regional anaesthetic technique that may achieve complete paraesthesia of the hemithorax. This technique may be a viable alternative to current regional anaesthetic techniques such as thoracic paravertebral and central neuraxial blockade, which can be technically more challenging and have a higher potential side-effect profile. We performed the serratus block at two different levels in the midaxillary line on four female volunteers. We recorded the degree of paraesthesia obtained and performed fat-suppression magnetic resonance imaging and three-dimensional reconstructions of the spread of local anaesthetic in the serratus plane. All volunteers reported an effective block that provided long-lasting paraesthesia (750-840 min). There were no side-effects noted in this initial descriptive study. While these are preliminary findings, and must be confirmed in a clinical trial, they highlight the potential for the serratus plane block to provide analgesia following surgery on the thoracic wall. We suggest that this novel approach appears to be safe, effective, and easy to perform, and is associated with a low risk of side-effects.

http://onlinelibrary.wiley.com/doi/10.1111/anae.12344/pdf



Bloqueo del plano anterior del serrato para fracturas costales múltiples


Serratus anterior plane block for multiple rib fractures.
Kunhabdulla NP, Agarwal A1, Gaur A, Gautam SK, Gupta R, Agarwal A.
Pain Physician. 2014 Jul-Aug;17(4):E553-5.

http://www.painphysicianjournal.com/2014/july/2014;17;E553-E555.pdf


Otros usos potenciales del bloqueo del plano anterior del serrato


Other potential uses of serratus anterior plane block.

Eid M.

Anaesthesia. 2014 Aug;69(8):933-4. doi: 10.1111/anae.12778.
http://onlinelibrary.wiley.com/doi/10.1111/anae.12778/pdf






Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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