Two patients with recurring pleural effusions who were undiagnosed were seen. Both were scheduled for a rigid thoracoscopy in order to make a definite diagnosis, septolysis in the intrapeural region and surrounding the lung parenchyma, as well as pleural biopsy and pleural fluid samples.

Dr. Aditya Pandya performed a rigid thoracoscopy. Dr Sandip Kapadiya performed the procedure under minimal IV sedation (dexmeditomidine) under USG guidance for a Serratus Anterior Plane Block.

With this technique, the patient experienced no pain at all and was less agitated throughout the
procedure. Once the sedation was stopped, the patient woke up in five to ten minutes, with excellent postoperative analgesia and a shorter hospital stay. We are excited about improving regional anesthesia expertise at Divine Life Hospital, Adipur.