Lying on the anterior thoracic wall, the base of the breast extends from the second to sixth ribs vertically, and from the sternal edge to near the midaxillary line
In such patients, we recommend sliding the ultrasound probe to the patient's right and looking between the lower anterior ribs, moving towards the midaxillary line
[23, 24] (Figure 1).
A thoracoscopic port was inserted via the 3rd intercostal space at the midaxillary line
. After achieving full bypass, ventilation was stopped and the lungs were collapsed.
Once the fluid was located over the right midaxillary line
, skin was prepped and draped.
We assumed that both SNB and FNB can be performed from the single needle insertion point located at the junction of lower and middle third of distance between the greater trochanter and iliac crest along the midaxillary line
Since the lateral cutaneous branches leave the TAP posterior to the midaxillary line
, posterior injection of local anesthetics is suggested if analgesia for both the anterior and lateral abdominal wall is required .
Intercostal drain was placed in the fourth intercostal space in the left midaxillary line
. After confirming adequate lung expansion on chest x-ray, the patient was transferred to the Intensive Care Unit.
The laser was directed in a horizontal line to the center of a one-inch reference square taped to the midaxillary line
at the dancer's most inferior rib.
The thoracostomy tube is inserted above either the 5th or 6th rib along the midaxillary line
, and connected to an underwater seal apparatus and suction.
Four locations were tested during these mapping tests, and the first three locations used electrodes in a straight line with equal separation between electrodes: (1) along the midaxillary line
, a line that is parallel and approximately 10 cm ventral to the vertebra; the four bilateral electrodes were placed from the seventh rib interspace to the third lumbar area (Figure 1); (2) along a line 4 cm dorsal to the midaxillary line
; (3) along the rostral edge of costal margin that separates the ribs from the abdomen, the line included three electrodes along the margin and the fourth dorsal to the margin; (4) a box arrangement was used with two electrodes ventral and two electrodes dorsal and placement of these electrodes was in the midlateral abdominal area.
The waist circumference (WC) was measured in duplicate horizontally at a point immediately above the iliac crest on the midaxillary line
in minimal breathing with an accuracy of 0.1 cm.