{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:36Z","timestamp":1786649676455,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intercostal drainage (ICD) tube insertion is a life-saving procedure through which blood, fluid, or air is drained out of the pleural space surrounding the lungs. This treatment is essential to manage conditions such as hemothorax, pleural effusion, and pneumothorax. In addressing the severe pain accompanying these conditions and pain caused by ICD tube insertion, emergency physicians are increasingly turning to newer techniques for pain management. We are presenting one such technique, which is the serratus anterior plane block (SAPB) guided by ultrasonography. This emerging approach holds promise in improving pain management and patient comfort, making it a crucial consideration in individuals requiring an ICD. In this case series, we present cases that required an ICD tube insertion for which SAPB was administered to manage the pain caused by the ICD tube. The pain reduced significantly in all patients following SAPB administration, and they did not require any additional analgesics for an average of 6\u20138 h after the block. This case series shows a more efficient way of managing pain in patients requiring ICD tube insertion.<\/jats:p>","DOI":"10.4103\/tjem.tjem_151_25","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T09:00:08Z","timestamp":1767258008000},"page":"78-81","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasonography-guided serratus anterior plane block for intercostal drain tube insertion pain"],"prefix":"10.4103","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2042-1554","authenticated-orcid":false,"given":"Joshua Daniel","family":"Birru","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9623-1847","authenticated-orcid":false,"given":"Varsha","family":"Shinde","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"R1-20260102","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1111\/anae.12344","article-title":"Serratus plane block:A novel ultrasound-guided thoracic wall nerve block","volume":"68","author":"Blanco","year":"2013","journal-title":"Anaesthesia"},{"key":"R2-20260102","first-page":"E421","article-title":"Serratus anterior plane block:A new analgesic technique for post-thoracotomy pain","volume":"18","author":"Madabushi","year":"2015","journal-title":"Pain Physician"},{"key":"R3-20260102","doi-asserted-by":"crossref","first-page":"388","DOI":"10.5152\/TJAR.2018.86719","article-title":"Impact of the ultrasound-guided serratus anterior plane block on post-mastectomy pain:A randomised clinical study","volume":"46","author":"Rahimzadeh","year":"2018","journal-title":"Turk J Anaesthesiol Reanim"},{"key":"R4-20260102","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/00005373-199509000-00043","article-title":"Morbidity and mortality of rib fracture","volume":"39","author":"Quaday","year":"1995","journal-title":"J Trauma"},{"key":"R5-20260102","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/SLA.0000000000002929","article-title":"Decreased risk of delirium with use of regional analgesia in geriatric trauma patients with multiple rib fractures","volume":"268","author":"O'Connell","year":"2018","journal-title":"Ann Surg"},{"key":"R6-20260102","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1213\/XAA.0000000000000502","article-title":"Serratus anterior plane block to address postthoracotomy and chest tube-related pain:A report on 3 cases","volume":"8","author":"Chu","year":"2017","journal-title":"A A Case Rep"},{"key":"R7-20260102","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1111\/anae.14424","article-title":"A randomised trial of serratus anterior plane block for analgesia after thoracoscopic surgery","volume":"73","author":"Park","year":"2018","journal-title":"Anaesthesia"},{"key":"R8-20260102","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1053\/j.jvca.2016.08.023","article-title":"Ultrasound-guided serratus anterior plane block versus thoracic epidural analgesia for thoracotomy pain","volume":"31","author":"Khalil","year":"2017","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R9-20260102","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.annemergmed.2014.11.015","article-title":"Association of emergency department opioid initiation with recurrent opioid use","volume":"65","author":"Hoppe","year":"2015","journal-title":"Ann Emerg Med"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_151_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:51Z","timestamp":1786647411000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/tjem.tjem_151_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/tjem.tjem_151_25","relation":{},"ISSN":["2452-2473","2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"},{"value":"2452-2473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-05-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}