In high risk patient, the use of PVB provides hemodynamic and respiratory stability with satisfactory anesthetic and analgesic efficacy
📌 3 Maddede Bu Makale
🎯
Amaç & Hipotez:Thorasic paravertebral block (PVB) thorasic epidural and pectoral nerve blocks can be used as a regional anesthetic option for breast surgery.
📊
Temel Bulgular & Veri:We report a case of an 78 year old patient with severe cardiopulmonary disease undergoing simple mastectomy by thorasic paravertebral block without any hemodynamic or respiratory derangement during perioperative period.
💡
Sonuç & Katkı:In high risk patient, the use of PVB provides hemodynamic and respiratory stability with satisfactory anesthetic and analgesic efficacy
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Abstract
Thorasic paravertebral block (PVB) thorasic epidural and pectoral nerve blocks can be used as a regional anesthetic option for breast surgery. Thorasic PVB is defined as injection of local anesthesthetic solution at the site where spinal nerves emerges from paravertebral foramen. It produces unilateral motor, sensory and sympathetic block, hence PVB could be an anesthetic choice in patients with severe cardiopulmonary disease. We report a case of an 78 year old patient with severe cardiopulmonary disease undergoing simple mastectomy by thorasic paravertebral block without any hemodynamic or respiratory derangement during perioperative period. In high risk patient, the use of PVB provides hemodynamic and respiratory stability with satisfactory anesthetic and analgesic efficacy
🔖
Bu Makaleye Atıf Yap
BAŞARAN, B., KÖKSAL, H. (2017). Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease. Medicine Science, Cilt: 6 - Sayı: 3, 570–571. https://ajindex.com/articles/277405
Davies RG, Myles PS, Graham JM. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy-a systematic review and meta-analysis of randomized trials. Br J Anaesth. 2006;96(4):418-26
Abdallah FW, Morgan PJ, Cil T, McNaught A, Escallon JM, Semple JL, Wu W, Chan VW. Ultrasound-guided multilevel paravertebral blocks and total intravenous anesthesia improve the quality of recovery after ambulatory breast tumor resection. Anesthesiology. 2014;120(3):703-13
Kairaluoma PM, Bachmann MS, Rosenberg PH, Pere PJ. Preincisional paravertebral block reduces the prevalence of chronic pain after breast surgery. Anesth Analg. 2006;103(3):703-8
Blanco R, Fajardo M, Parras Maldonado T. Ultrasound description of Pecs II (modified Pecs I): a novel approach to breast surgery. Rev Esp Anestesiol Reanim. 2012;59(9):470-5
Naja Z, Lonnqvist PA. Somatic paravertebral nerve blockade. Incidence of failed block and complications. Anaesthesia. 2001;56(12):1184-8
Akcaboy EY, Akcaboy ZN, Sonmez B, Gogus N. Thoracic paravertebral block performance for modified radical mastectomy with axillary dissection in a patient with severe chronic obstructive pulmonary disease. Agri. 2011;23(1):40-2
Buckenmaier CC, 3rd, Steele SM, Nielsen KC, Klein SM. Paravertebral somatic nerve blocks for breast surgery in a patient with hypertrophic obstructive cardiomyopathy. Can J Anaesth. 2002;49(6):571-4.