The serratus anterior plane block (SAPB) has been used successfully to treat pain of multiple fractured ribs (MFRs). We report two cases of MFRs where pain relief was not satisfactory with SAPB and, therefore, thoracic epidural was used for further management of pain. We have discussed the possibility of failure and suggested that if fracture is in the posterior part of the ribs, then thoracic epidural or paravertebral should be preferred over SAPB.
Keywords: Chest injury, Fracture rib, Regional analgesia, Serratus anterior plane block, Ultrasound-guided blocks.
How to cite this article: Jadon A, Jain P, Motaka M. Serratus Anterior Plane Block failed to relieve Pain in Multiple Fractured Ribs: Report of Two Cases. J Recent Adv Pain 2017;3(1):50-53.
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Conflict of interest: None