{"id":1775,"date":"2021-10-13T09:41:01","date_gmt":"2021-10-13T09:41:01","guid":{"rendered":"http:\/\/www.esraitalia.it\/?p=1775"},"modified":"2021-10-13T10:00:13","modified_gmt":"2021-10-13T10:00:13","slug":"pillola-alr-ottobre","status":"publish","type":"post","link":"https:\/\/www.esraitalia.it\/index.php\/2021\/10\/13\/pillola-alr-ottobre\/","title":{"rendered":"Pillola ALR Ottobre"},"content":{"rendered":"<p>Il blocco del serrato profondo (SAP) o BRILMA (Blocking the branches of intercostal nerves in the middle axillary line), viene suddiviso in superficiale se l\u2019anestetico locale viene iniettato tra il muscolo grande dorsale e muscolo serrato e in profondo se viceversa l\u2019anestetico viene depositato tra muscolo serrato e muscoli intercostali esterni ), (Superficial o Deep Serratus Anterior Plane Block, secondo la nuova nomenclatura). Il blocco del serrato profondo appare di pi\u00f9 facile esecuzione poich\u00e8 viene realizzato adagiando la punta dell\u2019ago sulla superficie costale che rappresenta pertanto un ostacolo alla progressione dell\u2019ago e alla possibilit\u00e0 di ledere la pleura e determinare uno pneumotorace. E\u2019 inoltre consigliabile eseguire il blocco con la paziente in decubito controlaterale alla sede dell\u2019intervento. Tale posizione permette all\u2019anestesista di adagiare comodamente la sonda sulla linea ascellare media e di insonare l\u2019ago correttamente lungo tutto il fascio ultrasonografico. Se l\u2019intervento prevede anche la dissezione del cavo ascellare, si consiglia di eseguire il blocco in direzione caudocraniale in modo da permettere la diffusione di anestetico lungo i rami intercostali ed il cavo ascellare.<\/p>\n<p>Nel video un breve riassunto di questi tips.<\/p>\n<p><iframe loading=\"lazy\" title=\"video pillola alr\" width=\"1200\" height=\"675\" src=\"https:\/\/www.youtube.com\/embed\/xWKVgjYDTTo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Il blocco del serrato profondo (SAP) o BRILMA (Blocking the branches of intercostal nerves in the middle axillary line), viene suddiviso in superficiale se l\u2019anestetico locale viene iniettato tra il&hellip;<\/p>\n","protected":false},"author":1,"featured_media":1780,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1775","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-ottobre","category-15","description-off"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2.1 - 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