Dexmedetomidine in Serratus Plane Block for Mastectomy
Summary
The serratus plane block (SPB) described by Blanco et al, 2013 is a progression from the work with the Pecs I and II blocks. The serratus muscle is a superficial and easily identified muscle and considered a true landmark to perform thoracic wall blocks because lateral cutaneous branches of the intercostal nerves pierce it in the mid-axillary line. A local anesthetic (LA) is injected under ultrasound (US) guidance either superficial or deep to serratus anterior muscle providing predictable and relatively long-lasting regional anesthesia, which would be suitable for surgical procedures performed on the chest wall. The linear US probe of frequency (6-13 MHz) is placed over the mid-clavicular region in a sagittal plane.The ribs are counted inferiorly and laterally until the fifth rib in the midaxillary line is identified.The latissimus dorsi, teres major, and serratus muscles are identified.
Timeline
- Start
- 2016-08-08
- Primary completion
- 2018-10-08
- Completion
- 2018-10-08
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | Bupivacaine | Other / unclassified | 2.5 mg/ml | Other |
| Subject | Dexmedetomidine | Other / unclassified | 1 ug/kg | Other |
| Background | Epinephrine | Other / unclassified | 5 ug/ml | Other |
Indications
No indication recorded.