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Overall crude mortality was 13.2% (95% CI 7.8% to 18.7%). In an adjusted analysis and compared with TEA, in-hospital mortality was similar between groups (relative risk (RR) 0.4, 95% CI 0.1 to 1. and (RR 0.5, 95% CI 0.2 to 1.6) for SAP and PA, respectively. CONCLUSION SAP, TEA and PA all appear to offer the ability to reduce pain scores and improve respiratory function. © American Society of Regional Anesthesia Pain Medicine 2020. Re-use permitted under CC BY. Published by BMJ.We propose a new approach to local anesthetic injectio