Combined Thoracic Paravertebral Block-Interscalene Block as a Primary Anesthetic for Modified Radical Mastectomy: A Case Report.

Medical archives (Sarajevo, Bosnia and Herzegovina) Pub Date : 2023-01-01 DOI:10.5455/medarh.2023.77.326-328

Bassam AlBassam

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引用次数: 0

Abstract

Background: Regional anesthesia as a primary anesthetic can offer merits over general anesthesia for patients having multiple comorbidities who are at a high risk of perioperative morbidity and mortality. Thoracic paravertebral block (TPVB) and interscalene block (ISB) have been used widely to improve the quality of postoperative analgesia after breast surgery.

Objective: There are limited data on the feasibility of combining TPVB-ISB as a sole anesthetic technique for extensive breast surgery with axillary lymph nodes dissection.

Case presentation: In this report, the author presented a successful use of a combined TPVB and ISB as a sole anesthetic with conscious sedation in a 52-year-old patient with multiple comorbidities, including heart failure with reduced ejection fraction, who underwent modified radical mastectomy with left axillary lymph nodes dissection.

Conclusion: Combining TPVB-ISB can be used as a sole anesthetic for extensive breast surgery in patients with a high risk for general anesthesia.

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胸椎旁阻滞-斜角肌间阻滞联合应用于改良乳房根治术:1例报告。

背景：对于患有多种合并症的围手术期发病率和死亡率较高的患者，区域麻醉作为一种主要麻醉剂可以提供优于全身麻醉的优点。胸椎旁阻滞（TPVB）和椎间阻滞（ISB）已被广泛用于提高乳腺手术后镇痛质量。目的：关于将TPVB-ISB作为唯一的麻醉技术用于广泛的乳腺手术和腋窝淋巴结清扫的可行性，数据有限。病例介绍：在本报告中，作者介绍了一名52岁患有多种合并症（包括射血分数降低的心力衰竭）的患者，成功使用TPVB和ISB联合作为唯一的麻醉剂，同时进行清醒镇静，该患者接受了改良根治性乳房切除术和左腋窝淋巴结清扫。结论：TPVB-ISB联合应用可作为全身麻醉高危患者乳腺大手术的唯一麻醉剂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Medical archives (Sarajevo, Bosnia and Herzegovina)

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