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Papers of the Week

2022 Dec 09

Pain Ther

Research Progress on Serratus Anterior Plane Block in Breast Surgery: A Narrative Review.


Chai B, Wang Q, Du J, Chen T, Qian Y, Zhu ZQ, Kang X
Pain Ther. 2022 Dec 09.
PMID: 36484891.


Breast surgery, especially radical mastectomy, is often accompanied by moderate to severe acute pain, which significantly reduces postoperative quality of life. Effective pain management can accelerate patient recovery. Serratus anterior plane block (SAPB) is a new type of fascial plane block technique, which can better target the nerve network innervating the chest wall and breast and provide good analgesia in the anterolateral chest wall. Current clinical research evidence indicates that SAPB has significant benefits in breast surgery. Further research avenues for this technology include optimal local anesthetic dosing strategy, the type of SAPB which is more suitable for breast surgery, comparison of SAPB and pectoral nerve block II (PECS II) in breast surgery, and high-quality randomized controlled study with outcomes of chronic pain or cancer prognosis.