Thoracic paravertebral block performance for modified radical mastectomy with axillary dissection in a patient with severe chronic obstructive pulmonary disease.
نویسندگان
چکیده
We present the case of an 86-year-old patient with severe chronic obstructive pulmonary disease undergoing modified radical mastectomy with axillary dissection by thoracic paravertebral block (PVB). Use of thoracic PVB provided hemodynamic and respiratory stability, excellent unilateral anesthesia and high patient satisfaction.
منابع مشابه
Single Level Thoracic Paravertebral Block for Analgesia in Modified Radical Mastectomy in a Comorbid Female
We report a case of 50 years old female diagnosed with carci noma of breast posted for modified radical mastectomy (MRM). Her comorbidities included diabetes mellitus (DM), hypertension, ischemic heart disease (IHD) and chronic obstructive pulmonary disease (COPD). She was also anxious about postoperative analgesia. The surgery was successfully completed under general anesthesia (GA) with sing...
متن کاملAnalgesic efficacy of ultrasound-guided paravertebral block versus serratus plane block for modified radical mastectomy: A randomised, controlled trial
BACKGROUND AND AIMS Modified radical mastectomy (MRM) may be associated with severe post-operative pain, leading to chronic pain syndrome. We compared the post-operative analgesic profile of two ultrasound-guided nerve blocks: Paravertebral block (PVB) and serratus plane block (SPB). METHODS This double-blind, randomised study was conducted on fifty adult females, scheduled for MRM with axill...
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We describe the use of single-shot lamina thoracic paravertebral block (TPVB) with sedation for a 56-year-old female patient who had modified radical mastectomy with axillary clearance. Two years ago, she suffered vocal cord palsy post thyroidectomy, which was managed with tracheostomy. The tracheostomy tube was removed 8 months later, leaving the patient with persistent hoarseness of voice and...
متن کاملManagement of Radical Mastectomy under Sole Thoracic Paravertebral Block in a 92 years Old Patient with Cardio- Pulmonary Dysfunction
Radical mastectomy is routinely performed under general anaesthesia, but geriatric patients with compromised cardio-pulmonary function are at increased risk of morbidity and mortality. We report successful perioperative management of radical mastectomy with sole paravertebral block in a 92 years old female with compromised cardio-pulmonary function and kyphoscoliotic spine. Single needle thorac...
متن کاملParavertebral Block Plus Thoracic Wall Block versus Paravertebral Block Alone for Analgesia of Modified Radical Mastectomy: A Retrospective Cohort Study
BACKGROUND AND OBJECTIVES Paravertebral block placement was the main anesthetic technique for modified radical mastectomy in our hospital until February 2014, when its combination with blocks targeting the pectoral musculature was initiated. We compared the analgesic effects of paravertebral blocks with or without blocks targeting the pectoral musculature for modified radical mastectomy. METH...
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ورودعنوان ژورنال:
- Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology
دوره 23 1 شماره
صفحات -
تاریخ انتشار 2011