ArticleIndian journal of anaesthesia2026
Two-point deep serratus anterior plane block for modified radical mastectomy - A case series assessing axillary coverage using structured sensory mapping.
Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Serratus anterior plane block (SAPB) provides chest wall analgesia in modified radical mastectomy (MRM) surgeries by targeting T2-T6 intercostal nerves, but conventional single-injection techniques show inconsistent T2 and axillary coverage, failing to reliably block the intercostobrachial nerve - a key contributor to postoperative axillary pain and postmastectomy pain syndrome. MRM patients experience significant axillary pain from dissection-related intercostobrachial nerve (ICBN) injury, necessitating multimodal analgesia that ensures reliable T2-axillary desensitisation. There is inadequate cephalad/axillary spread in standard SAPB, confirmed by prior studies showing <20% T2 blockade and variable ICBN involvement despite high local anaesthetic volumes. This prospective case series included 10 patients in whom ultrasound-guided deep two-point SAPB was administered with 20 mL of 0.375% ropivacaine at the 5
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