Combination of Thoracic Epidural Anesthesia, Supraclavicular Brachial Plexus Block and Supraclavicular Nerve Block as Surgical Anesthesia for Modified Radical Mastectomy-A Case Series

被引：4

作者：

Surya, R. ^{[1
]}

Gunasingh, Jennifer Lydia Joseph ^{[1
]}

Sethuraman, Raghuraman M. ^{[2
]}

Asokan, Aswin ^{[1
]}

Thilak, M. ^{[2
]}

机构：

[1] Sri Venkateshwaraa Med Coll Hosp & Res Ctr, Dept Anesthesiol, Ariyur, India

[2] BIHER, Dept Anesthesiol, Sree Balaji Med Coll & Hosp, 7 Works Rd, Chennai 600044, Tamil Nadu, India

来源：

A & A PRACTICE | 2022年 / 16卷 / 06期

关键词：

BREAST; ANALGESIA; SURGERY;

D O I：

10.1213/XAA.0000000000001591

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Sensory innervation of the breast is complex, thereby making it difficult to perform any surgical procedure with a single regional anesthesia technique. Because of the involvement of pectoral muscles and extension of the incision into the axilla, a modified radical mastectomy makes it further challenging and requires multiple techniques. We have used a new combination of regional techniques in this case series and found that it provided complete surgical anesthesia with a smaller volume of local anesthetic.

引用

页数：4

共 10 条

[1] Pectoral Nerves I and II Blocks in Multimodal Analgesia for Breast Cancer Surgery A Randomized Clinical Trial [J].

Bashandy, Ghada Mohammad Nabih ;

Abbas, Dina Nabil .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2015, 40 (01) :68-74

[2]

Doss NW, 2001, ANESTH ANALG, V92, P1552

[3] Anesthetic effect of ultrasound-guided multiple-nerve blockade in modified radical mastectomy in patients with breast cancer [J].

Du, Haiyun ;

Liu, Xiang ;

Li, Feng ;

Xue, Zhouya ;

Li, Yuhai ;

Qian, Bin .

MEDICINE, 2021, 100 (07) :E24786

[4] Perioperative Analgesic Modalities for Breast Cancer Surgeries: A Prospective Randomized Controlled Trial [J].

Elsabeeny, Walaa Y. ;

Shehab, Nahla N. ;

Wadod, Mohamed A. ;

Elkady, Mostafa A. .

JOURNAL OF PAIN RESEARCH, 2020, 13 :2885-2894

[5] Thoracic Paravertebral Block and Its Effects on Chronic Pain and Health-Related Quality of Life After Modified Radical Mastectomy [J].

Karmakar, Manoj Kumar ;

Samy, Winnie ;

Li, Jia W. ;

Lee, Anna ;

Chan, Wing Cheong ;

Chen, Phoon P. ;

Ho, Anthony M. -H. .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2014, 39 (04) :289-298

[6] THORACIC EPIDURAL-ANESTHESIA IMPROVES OUTCOME AFTER BREAST SURGERY [J].

LYNCH, EP ;

WELCH, KJ ;

CARABUENA, JM ;

EBERLEIN, TJ .

ANNALS OF SURGERY, 1995, 222 (05) :663-669

[7] Ultrasound guided supraclavicular nerve blockade: first technical description and the relevance for shoulder surgery under regional anaesthesia [J].

Maybin, J. ;

Townsley, P. ;

Bedforth, N. ;

Allan, A. .

ANAESTHESIA, 2011, 66 (11) :1053-1055

[8]

Sundarathiti Petchara, 2005, Journal of the Medical Association of Thailand, V88, P513

[9] Ultrasound imaging accurately identifies the intercostobrachial nerve [J].

Thallaj, Ahmed K. ;

Al Harbi, Mohammad K. ;

Alzahrani, Tariq A. ;

El-Tallawy, Salah N. ;

Alsaif, Abdulaziz A. ;

Alnajjar, Mohannad .

SAUDI MEDICAL JOURNAL, 2015, 36 (10) :1241-1244

[10] Perioperative Breast Analgesia A Qualitative Review of Anatomy and Regional Techniques [J].

Woodworth, Glenn E. ;

Ivie, Ryan M. J. ;

Nelson, Sylvia M. ;

Walker, Cameron M. ;

Maniker, Robert B. .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2017, 42 (05) :609-631

← 1 →