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Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia in a Pediatric Patient Undergoing

Volkan Özen1, Engin İhsan Turan2, Selçuk Alver3

  • 1From the Department of Anesthesiology, Prof Dr Cemil Taşçioğlu City Hospital, Istanbul, Turkey.

A&A Practice
|May 27, 2025
PubMed

Insights

Serratus Posterior Superior Intercostal Plane Block (SPSIPB) effectively managed pain in a pediatric patient with congenital cystic lung malformation, reducing opioid use. This technique shows promise for safe, opioid-sparing analgesia in pediatric thoracic surgery.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Thoracic Anesthesia

Background:

  • Congenital cystic lung malformation (CCLM) is a rare pediatric condition often necessitating surgical resection.
  • Effective postoperative pain control is vital for preventing respiratory complications and ensuring recovery in these young patients.

Purpose of the Study:

  • To evaluate the efficacy of Serratus Posterior Superior Intercostal Plane Block (SPSIPB) as part of multimodal analgesia in a pediatric patient undergoing lobectomy for CCLM.
  • To assess the potential of SPSIPB as an opioid-sparing strategy in pediatric thoracic surgery.

Main Methods:

  • A case presentation of a 1-year-old, 12-kg patient undergoing right lobectomy for CCLM.
  • SPSIPB was administered as part of a multimodal analgesia regimen.
  • Postoperative pain was assessed using FLACC (Face, Legs, Activity, Cry, Consolability) scores and monitoring opioid consumption.

Main Results:

  • The patient experienced effective thoracic analgesia with low FLACC scores postoperatively.
  • Minimal opioid utilization was recorded, indicating a successful opioid-sparing effect.
  • SPSIPB was demonstrated to be a safe component of the analgesia plan.

Conclusions:

  • SPSIPB can provide effective analgesia for pediatric thoracic surgery, specifically in cases of CCLM.
  • The technique shows potential as a safe and opioid-sparing option in pediatric surgical pain management.
  • Further research is warranted to establish SPSIPB as a standard practice in pediatric thoracic anesthesia.

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