Spread of Injectate After Combined Deep Serratus Anterior and Superficial Parasternal Intercostal Plane Injections: A Cadaver Study to Evaluate Their Utility in Breast Surgery
This cadaver study demonstrates that combining deep serratus anterior block with parasternal intercostal plane block provides reliable injectate spread to the cutaneous branches of intercostal nerves. In a clinical setting, this could provide comprehensive analgesia for the breast. Compared with paravertebral blocks, the combination of two fascial plane blocks may offer a technically less challenging alternative with a lower risk of complications.
Authors
- Timothy D. Wilson (ORCID: https://orcid.org/0000-0001-7102-2491)
- Christopher Hansebout
- Kody M. Wolfstadt (ORCID: https://orcid.org/0000-0001-8836-5394)
- Vishal Uppal (ORCID: https://orcid.org/0000-0001-7263-2072)
- Anne Agur (ORCID: https://orcid.org/0000-0002-2303-3628)
- William Newmarch (ORCID: https://orcid.org/0000-0002-9570-083X)
- Abhijit Biswas (ORCID: https://orcid.org/0000-0001-6352-7844)
- Vivienne P. Hang
Institutions
- Western University (CA)
- University of Toronto (CA)
- Nova Scotia Health Authority (CA)
Publication Details
- Journal
- Acta Anaesthesiologica Scandinavica
- Published
- 2025-10-14
- DOI
- https://doi.org/10.1111/aas.70134
- Primary Topic
- Anesthesia and Pain Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00