Pectoral nerve block as a single anesthetic technique for breast surgery and sentinel lymph node investigation

被引:7
作者
Campos, M. [1 ]
Azevedo, J. [1 ]
Mendes, L. [1 ]
Rebelo, H. [1 ]
机构
[1] Ctr Hosp Sao Joao, Dept Anesthesiol, Oporto, Portugal
来源
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2018年 / 65卷 / 09期
关键词
Pectoral nerves; PECs block; Breast surgery; Regional anesthesia; Ultrasonography;
D O I
10.1016/j.redar.2018.05.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Breast cancer surgery is usually performed under general anesthesia or, more recently, combined with conventional regional techniques. Pectoral nerves (PECs) block appears as an analgesic alternative in these procedures, but few studies refer to it as a single anesthetic technique(1-3). In this case report, we describe a 56-year-old female patient, BMI 31 kg/m(2), ASA IV, admitted for elective tumorectomy of the left upper quadrant of the breast and sentinel node investigation. Given the multiple comorbidities and the high anesthetic and surgical risk, the anaesthetic plan consisted in ultrasound guided PECs II block as a single anesthetic technique. The authors report a successful anesthetic and pain management without complications in breast surgery. PECs block, as a single anesthetic technique, may be safe, advantageous and effective with haemodynamic stability and few side effects in high risk cardiac patients. (C) 2018 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:534 / 536
页数:3
相关论文
共 11 条
[1]  
Afonso Anoushka M, 2017, Plast Reconstr Surg Glob Open, V5, pe1480, DOI 10.1097/GOX.0000000000001480
[2]   A Novel Ultrasound-Guided Block: A Promising Alternative for Breast Analgesia [J].
Alfaro de la Torre, Patricia ;
Dieguez Garcia, Paula ;
Lopez Alvarez, Servando ;
Garcia Miguel, Francisco Javier ;
Fajardo Perez, Mario .
AESTHETIC SURGERY JOURNAL, 2014, 34 (01) :198-200
[3]   Ultrasound description of Pecs II (modified Pecs I): A novel approach to breast surgery [J].
Blanco, R. ;
Fajardo, M. ;
Parras Maldonado, T. .
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2012, 59 (09) :470-475
[4]   The 'pecs block': a novel technique for providing analgesia after breast surgery [J].
Blanco, R. .
ANAESTHESIA, 2011, 66 (09) :847-848
[5]  
Cassi LC, 2017, EUR REV MED PHARMACO, V21, P1341
[6]  
Cata J, 2016, CANC CELL MICROENVIR, DOI [DOI 10.14800/CCM.1159, 10.14800/ccm.1159]
[7]  
Hong B, 2017, KOREAN J ANESTHESIOL, V70, P209, DOI 10.4097/kjae.2017.70.2.209
[8]  
Kim H, 2017, KOREAN J ANESTHESIOL, V70, P77, DOI 10.4097/kjae.2017.70.1.77
[9]   Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia [J].
Moon, Eun-Jin ;
Kim, Seung-Beom ;
Chung, Jun-Young ;
Song, Jeong-Yoon ;
Yi, Jae-Woo .
ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2017, 93 (03) :166-169
[10]   Opioid-free anesthesia for breast cancer surgery: An observational study [J].
Tripathy, Swagata ;
Rath, Satyajit ;
Agrawal, Suresh ;
Rao, P. Bhaskar ;
Panda, A. ;
Mishra, T. S. ;
Nayak, Sukdev .
JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY, 2018, 34 (01) :35-40