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

A&A Practice 2026

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Authors: Volkan Özen, Engin İhsan Turan, Selçuk Alver, Ayça Sultan Şahin, Bahadir ÇIFTÇI
DOI: 10.1213/xaa.0000000000002144
Cited by: 0
References: 8

Abstract

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.

Fields of Study & Subjects

Anesthesia and Pain Management Pediatric Pain Management Techniques Pain Management and Treatment

Publication details

Journal / source
A&A Practice
Volume
20
Issue
1
Pages
e02144–e02144
Publication date
1 January 2026
Language
EN