Nerve Block Gallery - Serratus Anterior Plane Block
Caption
80s F presented with a mechanical fall, found to have multiple rib fractures and subsequent poor incentive spirometry. An in-plane serratus anterior plane block was performed on the affected side using the linear transducer in a transverse plane orientation at the level of the 4th/5th rib at the mid axillary line. Local anesthetic can be seen spreading in the fascial plane between serratus anterior (deep) and latissimus dorsi (superficial) muscles. The lung pleura can be seen sliding below serratus anterior. The patient reported relief soon after the block. Dr. Michael Heffler, PGY3 Denver Health Residency in Emergency Medicine