Pecs Block and Serratus Plane Blocks. How to Explain Fascial Compartments

The use of ultrasound has allowed in the recent years anesthesiologist to target specific planes through which local anesthetic can neutralized pain transmission during and after thoracic surgical procedures of multiple kinds. Breast cancer is an extremely common situation in which wide humoral excisions axillary clearances and breast reconstructions can be counted into the millions eery year world wide. Like one century ago medical bodies denied help to pregnant women during labour breast cancer procedures are considered by many surgeons as “no that painful”. One should wonder why they need an anesthesiologists is this is the case… The reality is that women suffer this traumatic situation with the ‘add on” of being ignored. More experience anesthesiologists used to provide these patients with two central techniques: epidurals and paravertebrales blocks but both can have devastating complications that leaves these options to centers with a broad experience and high number of operations. Not even 10% of the anesthesiologist use this approach. The PECS block and serrates plane blocks were described by myself as a simple, quick and effective solution to the pack of postoperative pain management for thoracic procedures of any kind, for chronic pain managements and even for pain management following thoracic trauma. Ultrasound has allows to provide multiple variation of the same thing but is it really something else or we are just trying to put our grain of sand in the mountain. In this lecture new will provide evidence and logical thinking about what is a fascial plane block, the different mechanism by which they can work, not only via macroscopic anatomy and how relevant it is to implement these techniques in our daily basis. Eighty percent of the surgery is perform as ambulatory surgery therefore a simple safe technique has a space as a workable solution to pain management. The Pecs block and serrates plane blocks have revolutionised the way we approach acute pain in the XXI century and it came here to stay.