Unit:
Κατεύθυνση Περιοχική ΑναισθησίαLibrary of the School of Health Sciences
Author:
Rantis Athanasios
Supervisors info:
Τατιανή Σιδηροπούλου, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Χρυσάνθη Μπατιστάκη, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Γεωργία Γερολουκά Κωστοπαναγιώτου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Υπερηχογραφικά καθοδηγούμενοι αποκλεισμοί θωρακικού τοιχώματος
Translated title:
Ultrasound guided thoracic wall blocks
Summary:
In recent years, the newer ultrasound guided techniques of the thoracic region such as the pectoralis major plane block (PECS 1), pectoralis minor plane block
(PECS 2), serratus anterior plane block (SAP Block) and erector spinae plane block
(ESP block) have been introduced in clinical practice as less invasive, with few
complications and contraindications, easy to learn and, also, as an alternative to the
traditionally used epidural or paravertebral block. To thoroughly understand and
safely perform these plane blocks, a detailed knowledge of the anatomy of the
muscles, the fasciae that surround them and the exact course of the spinal nerves
through them, is necessary. The aim of these blocks is to –under ultrasound guidancelocate
the myofascial plane where the nerves to be blocked are situated, and infuse a
volume of local anesthetic. In that way, the PECS 1 and PECS block aim to block
mostly the anterior hemithorax and the SAP block can provide analgesia to the lateral
wall of the thorax. Finally, the ESP block, which is performed more centrally in
comparison to the other blocks, can provide analgesia to the posterior aspect of the
thoracic wall.
Main subject category:
Health Sciences
Keywords:
Ultrasound, Nerve block, Pectoralis muscle, Serratus anterior , Erector spinae
