• Carlo Uran, Angela Giojelli, Gerardo Morello, Cosimo Nave, Biagio Bosco, Giovanni Cicia, Domenico D'Andrea, Giacomo Di Chiara, Antonio Borgogna, and Pietro Iodice.
• U.O.C. Cardiologia-UTIC.
• G Ital Cardiol (Rome). 2019 Jan 1; 20 (1): 41-45.

BackgroundThe aim of this study was to report our experience with subcutaneous defibrillator (S-ICD) implantation.MethodsAt our hospital, 7 procedures of S-ICD implantation were performed; 4 of these with ultrasound-guided serratus anterior plane block (SAPB) and 3 with usual local anesthesia followed by sedation.ResultsSurgical operations were not burdened with peri- and postprocedural complications, with only one event of limited hematoma of the thoracic wall. Ultrasound-guided serratus anterior plane block was associated with better pain control during the procedure and the postoperative period. The disconnection between latissimus dorsi and serratus obtained by serratus anterior plane block contributed to make the creation of the pocket easier. The technique used is with two incisions.ConclusionsIn our experience, S-ICD implantation with the technique of the serratus anterior plane block is safe and effective, and significantly facilitated pain control during the procedure and postoperatively.

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