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{
    "pk": 21251,
    "title": "Serratus Anterior Plane Block for Procedural Anesthesia for Pigtail Tube Thoracostomy: A Case Series",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Pneumothoraces are frequently treated by emergency physicians. Tube thoracostomy, the definitive treatment for a spontaneous pneumothorax, is associated with significant pain. Analgesia prior to tube thoracostomy often involves the administration of opioids and local infiltration of anesthetics. Thus far, regional anesthesia prior to pigtail tube thoracostomy in the emergency department (ED) has not been well described; it offers promise in alleviating pain associated with this procedure. Due to its ability to anesthetize all or most of the structures associated with tube thoracostomy—skin, serratus anterior muscles, intercostal muscles, and the parietal pleura—the serratus anterior plane block (SAPB) is a potentially promising fascial plane block prior to pigtail tube thoracostomy.</p>\n<p><strong>Case Series: </strong>We present three cases of patients in the ED who received a SAPB and had nearly complete or complete anesthesia during pigtail tube thoracostomy.</p>\n<p><strong>Conclusion</strong>: Pigtail tube thoracostomies are commonly performed in the ED and can be associated with significant pain despite a multimodal approach to pain management. The SAPB offers a safe and effective approach to anesthesia for patients in the ED undergoing a pigtail tube thoracostomy.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "chest tube"
        },
        {
            "word": "Tube Thoracostomy"
        },
        {
            "word": "serratus anterior plane block"
        },
        {
            "word": "ultrasound"
        },
        {
            "word": "regional anesthesia"
        }
    ],
    "section": "Case Series",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2bd7f94d",
    "frozenauthors": [
        {
            "first_name": "Edward",
            "middle_name": "",
            "last_name": "Lopez",
            "name_suffix": "",
            "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida",
            "department": ""
        },
        {
            "first_name": "Raghav",
            "middle_name": "",
            "last_name": "Sahni",
            "name_suffix": "",
            "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "Maxwell",
            "middle_name": "",
            "last_name": "Cooper",
            "name_suffix": "",
            "institution": "Drexel University College of Medicine, Department of Emergency Ultrasound, Philadelphia, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Shalaby",
            "name_suffix": "",
            "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida; Herbert Wertheim College of Medicine at Florida International University, Department of Emergency Medicine and Critical Care, Miami Beach, Florida",
            "department": ""
        }
    ],
    "date_submitted": "2024-05-25T17:24:10.189000Z",
    "date_accepted": "2024-10-14T17:13:42.897000Z",
    "date_published": "2025-01-19T21:40:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/21251/galley/31518/download/"
        }
    ]
}