Nerve Block: Serratus Anterior
Revision as of 17:50, 28 September 2022 by Blsimpso (talk | contribs) (Created page with "==Overview== *Injection of local anesthetic around the thoracic intercostal nerves to provide regional anesthesia to the anterolateral chest wall ==Indications== *Rib fractures *Rib contusions ==Contraindications== *Overlying soft tissue infection *Allergy to local anesthetic ==Equipment Needed== *High-frequency linear transducer *Sterile probe cover *Sterile gel *Chlorhexidine or betadine solution *Sterile gloves *1% lidocaine with epinephrine in syringe with 27-gaug...")
Overview
- Injection of local anesthetic around the thoracic intercostal nerves to provide regional anesthesia to the anterolateral chest wall
Indications
- Rib fractures
- Rib contusions
Contraindications
- Overlying soft tissue infection
- Allergy to local anesthetic
Equipment Needed
- High-frequency linear transducer
- Sterile probe cover
- Sterile gel
- Chlorhexidine or betadine solution
- Sterile gloves
- 1% lidocaine with epinephrine in syringe with 27-gauge needle (for skin wheel)
- 0.5% bupivacaine in 30 ml syringe (see Figure 3 for alternative agents and dosing guidelines). If max dose is under 30 ml, dilute anesthetic further with sterile saline to reach a total of 30 ml of anesthetic/saline mixture
- Peripheral nerve block needle with extension tubing
- Alternatively, 22g spinal needle with IV extension tubing
- Intralipid (must be present in the department prior to any performing nerve block)