Ultrasound guided blocks for surgeries/ procedures involving chest wall ( Pecs 1, 2 and serratus plane block )

Abstract

Postoperative pain for surgeries involving chest wall is mostly managed using multimodal analgesia i.e.
by using combination of non-steroidal anti-inflammatory drugs (NSAIDS), paracetamol, opioids and local
anesthetic infiltration. In extensive surgeries like radical mastectomy and latissimus dorsi flaps, some
anesthetists may employ use of paravertebral blocks or thoracic epidural analgesia. In this article, we
describe use of ultrasound guided myofascial blocks involving chest wall that have shown to provide
good analgesia after surgeries/ procedures involving the chest wall.