{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T07:38:04Z","timestamp":1781595484316,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The serratus anterior plane block (SAPB) is an ultrasound\u2010guided compartment block; limited data suggest that it can decrease pain in patients with rib fractures or chest wall pain. We sought to determine the effect of SAPB on pain and incentive spirometry (IS) maximal vital capacity in adult patients with rib fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled a prospective sample of adult patients with at least two unilateral rib fractures who were being admitted for pain control. SAPB was performed by trained emergency physicians. Patients reported pain on an 11\u2010point Numeric Rating Scale at rest and during IS, before, 15, and 60\u00a0minutes after SAPB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean pain scores decreased by 1.8 (SD 2.17, 95% confidence interval [CI]: 0.79\u20132.81) at 15\u00a0minutes and 2.5 (SD 2.69, 95% CI: 1.24\u20133.76) at 60\u00a0minutes. Compared to pre\u2010block pain scores during IS, mean pain scores decreased by 1.95 (SD 1.99, 95% CI: 1.02\u20132.88) at 15\u00a0minutes and 2.4 (SD 2.42, 95% CI: 1.27\u20133.53) at 60\u00a0minutes. Mean maximum vital capacity increased by 232\u2009mL (SD 406, 95% CI: 36\u2013427) at 60\u00a0minutes. Zero SAPB\u2010attributable complications were identified in the 24\u00a0hours post\u2010enrollment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with multiple rib fractures, SAPB reduced pain scores at rest and during IS, and increased maximal vital capacity. The SABP may be a safe and effective modality for pain control in trauma patients with multiple rib fractures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15953","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T08:48:17Z","timestamp":1643791697000},"page":"2695-2701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Ultrasound\u2010Guided Serratus Anterior Plane Block (<scp>SAPB<\/scp>) Improves Pain Control in Patients With Rib Fractures"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5591-2571","authenticated-orcid":false,"given":"Randy M.","family":"Kring","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Maine Medical Center Tufts University School of Medicine  Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Mackenzie","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Maine Medical Center Tufts University School of Medicine  Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2164-007X","authenticated-orcid":false,"given":"Christina N.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Maine Medical Center Tufts University School of Medicine  Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph F.","family":"Rappold","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maine Medical Center,\u00a0Tufts University School of Medicine  Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania D.","family":"Strout","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Maine Medical Center Tufts University School of Medicine  Portland 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plane block\u2010an analgesic technique for multiple rib fractures: a case series","volume":"3","author":"Jadon A","year":"2017","journal-title":"Am J Anesth Clin Res"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/LRA.S207791"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90029-8"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004535"}],"container-title":["Journal of Ultrasound in 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