Abstract
Introduction: Anatomical landmark guided deep SAP block was rst described by Dr.Vadera et al1 in the year 2020. we described a new anatomical landmark guided deep SAP block technique and report a case series in patients undergoing breast surgery for perioperative analgesia. Materials and Methods: A total of 10 patients undergoing breast surgery were studied. They were administered new anatomical landmark guided deep SAP block after administration of general anaesthesia. Landmarks used were intersection point of horizontal line passing through the ipsilateral nipple and a vertical mid axillary line. A total 30ml of 0.25% Bupivacaine with 8mg dexamethasone was administered using 22G hypodermic needle. Outcomes assessed were intraoperative supplemental analgesics requirement, hemodynamic stability, postoperative visual analogue score in rst 24hrs, total duration of analgesia, time required for rst rescue analgesic, total dose of rescue analgesic required in rst 24hrs, complications following block and time required to administer the block. In 2020 Vadera et al. demo Discussion: nstrated that SAP block using anatomical landmark guided approach using 20-25ml of 0.25% Levobupivacaine provides analgesia involving ipsilateral T2-T6 dermatome lasting for 24hrs with decrease in requirement of other analgesics.We also reported similar ndings. No intraoperative supplemental Results: analgesic was required. There was good intraoperative hemodynamic stability with minimum requirement of muscle relaxants. Postoperative visual analogue score was 0 in seven patients in rst 24hrs and in remaining three patients the score was 2 in rst 12hrs and 4 in next 12hrs. No complications were noted. Average time for performing the block was 8 mins. The Conclusion: new anatomical guided deep SAP block is a simple, safe, easy to learn, easy to administer and an effective analgesic technique for patients undergoing breast surgery specially in resource poor setting
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