{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T04:16:53Z","timestamp":1778645813436,"version":"3.51.4"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T00:00:00Z","timestamp":1583193600000},"content-version":"vor","delay-in-days":62,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Serratus anterior plane blocks may provide analgesia for rib fractures, thoracic surgery and breast surgery. There remains uncertainty regarding the location of injection, be it superficial or deep to the serratus anterior muscle. We describe the case of a 63\u2010year\u2010old <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> physical status 3 woman undergoing a wire\u2010guided wide local excision of a right breast lump. A modified right serratus anterior plane block was performed under ultrasound guidance, injecting 20\u00a0ml of bupivacaine 0.25% deep to the serratus anterior muscle. No immediate complications were noted. Intra\u2010operatively the patient developed arterial desaturation associated with high airway pressures. A subsequent chest radiograph in the post\u2010anaesthetic care unit demonstrated a large right\u2010sided pneumothorax which was treated with immediate needle decompression and chest drain insertion. This is the first case of pneumothorax reported from this approach to serratus anterior plane blockade and serves as a reminder of a potential serious complication.<\/jats:p>","DOI":"10.1002\/anr3.12034","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T05:31:38Z","timestamp":1583213498000},"page":"14-16","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Pneumothorax following serratus anterior plane block"],"prefix":"10.1002","volume":"8","author":[{"given":"M.","family":"Desai","sequence":"first","affiliation":[{"name":"Darent Valley Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. K.","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Frimley Park Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Venkataraju","sequence":"additional","affiliation":[{"name":"Basingstoke and North Hampshire Hospital UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12344"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2016.08.023"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2014\/17\/E651"},{"key":"e_1_2_5_5_1","first-page":"95","article-title":"Analgesic combined lateral and anterior cutaneous branches of the intercostal nerves ultrasound block in ambulatory breast surgery","volume":"17","author":"Fajardo M","year":"2012","journal-title":"Cirugia Mayor Ambulatoria"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13549"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:37:51Z","timestamp":1759923471000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/anr3.12034"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12034","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2019-12-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}