Evidence map›Paper›PMID 39935922›Full record

ArticleCureus2025

Continuous Bilateral Serratus Anterior Plane Block: An Effective Analgesic Strategy for Managing Extensive Bilateral Rib Fractures.

João V Pais, Mariana S Barros, Sónia M Cavalete, Helder P Cardoso

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

João V PaisAnesthesiology, Unidade Local de Saúde Tâmega e Sousa, Penafiel, PRT.
Mariana S BarrosAnesthesiology, Unidade Local de Saúde Tâmega e Sousa, Penafiel, PRT.
Sónia M CavaleteAnesthesiology, Unidade Local de Saúde Tâmega e Sousa, Penafiel, PRT.
Helder P CardosoAnesthesiology, Unidade Local de Saúde Tâmega e Sousa, Penafiel, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with multiple bilateral rib fractures frequently experience intense pain and limited thoracic mobility, leading to complications such as reduced coughing efficiency, pulmonary infection, and respiratory failure. While thoracic epidural analgesia is often considered the gold standard for pain management in these cases, its use is limited by contraindications and the need for patient positioning that exposes the back. The serratus anterior plane block, guided by ultrasound, offers a promising alternative for managing thoracic pain, particularly for polytrauma patients who cannot sit up or assume lateral positions required for traditional regional blocks. This case report describes a patient admitted to the intensive care unit following a fall that caused multiple bilateral rib fractures. Due to contraindications for epidural analgesia related to coagulopathy, bilateral serratus anterior plane blocks were performed with catheter placement on each side, providing effective pain relief and improving respiratory function.

Indexed as

bilateral rib fracturescontinous catheter analgesiaserratus anterior plane blockthoracic analgesiathoracic trauma

Identifiers

PMID39935922
PMCPMC11813255

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.