Combination of Fascial Plane Blocks Including Serratus Posterior Superior Intercostal Plane Block for Pediatric Thoracic Analgesia: Two Case Reports


ÖZEN V., Turan E. İ., Alver S., ŞAHİN A. S., ÇİFTÇİ B.

A and A Practice, cilt.20, sa.1, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 1
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1213/xaa.0000000000002144
  • Dergi Adı: A and A Practice
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Effective postoperative pain management in pediatric thoracic surgery remains challenging. We present 2 cases where the serratus posterior superior intercostal plane block (SPSIPB) was combined with other fascial plane blocks to enhance analgesia. In a 10-year-old undergoing thoracoscopic hydatid cyst excision, serratus anterior plane block plus SPSIPB provided analgesia for 24 hours. In a 2-year-old undergoing thoracoscopic neuroblastoma resection, subtransverse process interligamentary plane block plus SPSIPB delayed analgesic need until the nineth postoperative hour. These cases suggest that SPSIPB is a valuable adjunct in multimodal pediatric thoracic analgesia strategies.