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1. Combined Superficial and Deep Serratus Plane Block With Bupivacaine, Dexamethasone, and Clonidine in the Treatment of a Patient With Postmastectomy Pain Syndrome: A Case Report

Author

Natalie R. Strickland, Johnathan H. Goree, and Christopher J. Maranto

Subjects
Adult, Pain relief, Clonidine, Dexamethasone, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Block (telecommunications), medicine, Humans, Pain Management, Mastectomy, Anesthetics, Bupivacaine, Pain syndrome, Analgesics, Pain, Postoperative, business.industry, Nerve Block, General Medicine, Pain Clinics, 030220 oncology & carcinogenesis, Anesthesia, Drug Therapy, Combination, Female, Chronic Pain, business, medicine.drug
Abstract

Postmastectomy pain syndrome poses a significant treatment challenge. We present the case of a 42-year-old woman who presented to our pain clinic with a 16-month history of postmastectomy pain. We performed a combined superficial and deep serratus plane block using bupivacaine, dexamethasone, and clonidine. At 1-month follow-up, the patient had 100% pain relief. At 2-month follow-up, her pain was 5/10. The block was repeated with the same drugs at 3 months with similar pain relief. This case illustrates the utility of a combined superficial and deep serratus plane block in postmastectomy pain syndrome with a possible benefit from added dexamethasone and clonidine.

Published
2018

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