Combination of Fascial Plane Blocks Including Serratus Posterior Superior Intercostal Plane Block for Pediatric Thoracic Analgesia: Two Case Reports

Abstract

Effective postoperative pain management in pediatric thoracic surgery remains challenging. We present 2 cases where the serratus posterior superior intercostal plane block (SPSIPB) was combined with other fascial plane blocks to enhance analgesia. In a 10-year-old undergoing thoracoscopic hydatid cyst excision, serratus anterior plane block plus SPSIPB provided analgesia for 24 hours. In a 2-year-old undergoing thoracoscopic neuroblastoma resection, subtransverse process interligamentary plane block plus SPSIPB delayed analgesic need until the nineth postoperative hour. These cases suggest that SPSIPB is a valuable adjunct in multimodal pediatric thoracic analgesia strategies.