Pregledni rad

https://doi.org/10.20471/acc.2023.62.s4.8

Serratus Anterior Plane Block for Analgesia in Mastectomy

Dino Budrovac ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Ivan Radoš ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Ninoslava Vonić ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Dijana Hnatešen ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia; Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ozana Katarina Tot ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Ivana Haršanji-Drenjančević ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Ivan Omrčen ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Anja Petričević ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia; Faculty of Medicine, J. J. Strossmayer University Osijek, Osijek, Croatia
Iva Dimitrijević ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Osijek, Croatia

Sažetak

The incidence of breast cancer in women is on the rise, but the survival rate has increased
due to the progress of medicine, especially if the disease is detected early. One of the imperatives is
the patient’s quality of life after treatment. Inadequately treated acute postoperative pain leads to a worse
treatment outcome and the development of chronic pain. The incidence of chronic pain after surgical treatment
of breast cancer is high and negatively affects the quality of life of patients in the long term. Serratus
anterior plane block (SAPB) is a relatively new ultrasound-guided regional analgesia technique. SAPB represents
an alternative to an epidural, and to paravertebral and intercostal blocks. This review aims to describe
serratus anterior plane block for breast surgery and emphasize their short- and long-term benefit. For this
review, we searched MEDLINE in November 2022 to identify metanalyses, randomized controlled trial
systemic reviews, and reviews published in the last five years. The search for metanalyses yielded 4 results;
12 results were found for randomized controlled trials; 5 results for reviews; and 4 results for systematic
reviews. When employing SAPB in patients after mastectomy, good analgesia is achieved in the early postoperative
period and the incidence of chronic pain is reduced, thus improving quality of life.

Ključne riječi

mastectomy; ultrasound-guided; serratus anterior plane block; multimodal treatment; opioid; postoperative pain

Hrčak ID:

315959

URI

https://hrcak.srce.hr/315959

Datum izdavanja:

1.11.2023.

Podaci na drugim jezicima: hrvatski

Posjeta: 75 *