Two-Level Continuous Thoracic Paravertebral Nerve Blocks Providing Opioid-Free Postoperative Analgesia After Latissimus Dorsi Flap Breast Reconstruction: A Case Report

被引：4
|
作者：
Swisher, Matthew William [1 ]
Gabriel, Rodney A. [1 ]
Khatibi, Bahareh [1 ]
机构：
[1] Univ Calif San Diego, Dept Anesthesiol, 9500 Gilman Dr,MC 0898, La Jolla, CA 92093 USA
来源：
A & A PRACTICE | 2018年 / 11卷 / 05期
关键词：
D O I：
10.1213/XAA.0000000000000759
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We present the case of a 55-year-old woman undergoing a delayed latissimus dorsi flap breast reconstruction after a simple mastectomy for breast cancer. Preoperatively, 2 unilateral paravertebral catheters were placed at T3/4 and T7/8 for postoperative analgesia. Postoperatively, ropivacaine 0.2% was infused until the day of discharge on postoperative day 2. The patient had excellent postoperative analgesia and required no opioids or other analgesics through postoperative day 10. We report that multilevel paravertebral nerve blockade could represent an opioid-sparing alternative for postoperative analgesia for latissimus dorsi flap breast reconstruction patients.
引用
收藏
页码：118 / 120
页数：3
相关论文
共 16 条
  • [1] Paravertebral analgesia with levobupivacaine increases postoperative flap tissue oxygen tension after immediate latissimus dorsi breast reconstruction compared with intravenous opioid analgesia
    Buggy, DJ
    Kerin, MJ
    ANESTHESIOLOGY, 2004, 100 (02) : 375 - 380
  • [2] Progression of idiopathic thoracolumbar scoliosis after breast reconstruction with a latissimus dorsi flap - A case report
    Kim, DH
    Glazer, PA
    SPINE, 2000, 25 (05) : 622 - 625
  • [3] Combined Continuous Paravertebral and TAP Blocks for Pain Management after TRAM Flap Breast Reconstruction: A Report of Two Cases
    RaoKadam, V.
    INDIAN ANAESTHETISTS FORUM, 2015, 16 (05):
  • [4] Use of Abnobaviscum to treat refractory seroma after breast reconstruction with a latissimus dorsi flap: A case report
    Kim, Jong Seong
    Eo, Pil Seon
    Lee, Joon Seok
    Lee, Jeong Woo
    Chung, Ho Yun
    Cho, Bring Chae
    Choi, Kang Young
    Park, Ho Young
    Yang, Jung Dug
    ARCHIVES OF AESTHETIC PLASTIC SURGERY, 2019, 25 (02): : 73 - 78
  • [5] Continuous thoracic epidural analgesia compared with intravenous analgesia for postoperative pain management of breast reconstruction with free TRAM flap
    Oroszy, D.
    Lopuh, M.
    EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2004, 21 : 114 - 114
  • [6] Breast cancer local recurrence after mastectomy with immediate latissimus dorsi myocutaneous flap reconstruction: A case report
    Shinzaki, Wataru
    Manabe, Hironobu
    Kubota, Michiyo
    Inui, Hiroki
    Hojo, Toshiya
    Ito, Toshikazu
    Itani, Yoshihito
    Komoike, Yoshifumi
    SAGE OPEN MEDICAL CASE REPORTS, 2023, 11
  • [7] Postoperative recovery after breast cancer surgery A randomised controlled trial of opioid-based versus opioid-free anaesthesia with thoracic paravertebral block
    Zhang, Qingfen
    Wu, Yaqing
    An, Haiyan
    Feng, Yi
    EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2023, 40 (08) : 552 - 559
  • [8] Retrospective Case Series Comparing the Efficacy of Thoracic Epidural With Continuous Paravertebral and Erector Spinae Plane Blocks for Postoperative Analgesia After Thoracic Surgery
    Kukreja, Promil
    Herberg, Timothy J.
    Johnson, Brittany M.
    Kofskey, Alexander M.
    Short, Roland T.
    MacBeth, Lisa
    Paul, Christopher
    Kalagara, Hari
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (10)
  • [9] Acute and diffuse postoperative bleeding after free Latissimus dorsi flap - Factor XIII deficiency: A case report and review of the literature
    Dragu, Adrian
    Bach, Alexander D.
    Leffler, Marelke
    Unglaub, Frank
    Horch, Raymund E.
    MEDICAL SCIENCE MONITOR, 2009, 15 (01): : CS1 - CS4
  • [10] Immediate extended latissimus dorsi flap reconstruction after skin-sparing mastectomy for breast cancer associated with paraffinoma: Report of a case
    Jeryong Kim
    Jinsun Lee
    Eilsung Chang
    Kwangsun Suh
    Surgery Today, 2011, 41 : 1680 - 1683
12