{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:32:53Z","timestamp":1787319173907,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"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":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Rib fractures are not only painful but are associated with morbidity and mortality, especially in older patients. The serratus anterior plane block (SAPB) is a plane block distant from major neurovascular bundles and may provide anaesthesia to a substantial area of the hemithorax. This pilot study was designed to assess if the SAPB can be safely and efficiently incorporated to the trauma reception workflow of an adult, level\u00a01 trauma centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sample of 20 adult patients with at least two or more unilateral rib fractures received a SAPB performed by an emergency physician in addition to their standard analgesic regime. Time to perform the procedure, the number of attempts and complications were recorded as feasibility measures. Secondary outcome was the safety of the block. Numerical pain scores at pre\u2010determined time points over 4\u00a0h, the diagnosis of hospital\u2010acquired pneumonia, hospital length of stay and mortality at hospital discharge were collected to provide pilot data on effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median time to perform the procedure was 5.5 (interquartile range 4.6\u201310) mins with a range of 2\u201310.5\u00a0min. Most (16; 80%) SAPBs were completed in a single attempt. There were no documented complications. Median pain scores reduced from 6.5 (6\u20138) and were maintained at 3 (2\u20135) at 4\u00a0h after the SAPB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present study demonstrated the feasibility of ultrasound\u2010guided SAPB among patients with multiple rib fractures in the ED. No complications were observed. Further prospective evaluation of analgesic effects in a larger cohort is indicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.13724","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T04:16:46Z","timestamp":1611893806000},"page":"788-793","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Regional anaesthesia for rib fractures: A pilot study of serratus anterior plane block"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6583-8865","authenticated-orcid":false,"given":"Marc","family":"Schnekenburger","sequence":"first","affiliation":[{"name":"Trauma Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Mathew","sequence":"additional","affiliation":[{"name":"Trauma Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0183-7761","authenticated-orcid":false,"given":"Mark","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Trauma Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Hendel","sequence":"additional","affiliation":[{"name":"Trauma Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Department of Anaesthesiology and Perioperative Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mir Wais","family":"Sekandarzad","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Perioperative Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0508-2450","authenticated-orcid":false,"given":"Biswadev","family":"Mitra","sequence":"additional","affiliation":[{"name":"National Trauma Research Institute Monash University  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Epidemiology and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"MaioE SissonG. Major Trauma in NSW 2014. A report from the NSW Trauma Registry. 2015. [Cited 20 Dec 2016.] Available from URL:https:\/\/www.aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0020\/292313\/Major_Trauma_in_NSW _2014_A_Report_from_the_NSW_Trauma_Registry.pdf"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200006000-00007"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S1847"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00405.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001209"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12344"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000451"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex013"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.12.060"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13549"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000431"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.5811\/cpcem.2019.11.44946"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2014\/17\/E553"},{"key":"e_1_2_9_15_1","first-page":"87","article-title":"Continuous serratus anterior plane block provides analgesia in multiple rib fractures: a case report","volume":"69","author":"Camacho FCO","year":"2018","journal-title":"Braz. J. Anesthesiol. Engl. 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