Combined Regional Anesthesia with Supplemental Sedation for Scapula Fracture Surgery in a High-Risk Patient: Anesthetic Management with Erector Spinae Plane and Serratus Posterior Superior Intercostal Plane Blocks

This case report highlights a novel and effective use of a combined erector spinae plane block (ESPB) and serratus posterior superior intercostal plane block (SPSIPB) as the primary anesthetic method for a patient undergoing scapula surgery who was at high risk for general anesthesia. The combination of these 2 fascial plane blocks successfully provided surgical anesthesia and postoperative analgesia while allowing the patient to remain awake and avoid the risks associated with mechanical ventilation. This technique represents a promising opioid-sparing strategy for the management of high-risk trauma patients.