Ultrasound-Guided Midpoint Transverse Process to Pleura Block in Breast Cancer Surgery: A Case Report

被引：18

作者：

Bhoi, Debesh ^{[1
]}

Narasimhan, Purnima ^{[1
]}

Nethaji, Ranjitha ^{[1
]}

Talawar, Praveen ^{[1
]}

机构：

[1] All India Inst Med Sci, Dept Anaesthesiol Pain Med & Crit Care, New Delhi, India

来源：

A & A PRACTICE | 2019年 / 12卷 / 03期

关键词：

REGIONAL ANESTHESIA; PLANE BLOCK; ANALGESIA;

D O I：

10.1213/XAA.0000000000000850

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

To avoid the safety issues related to thoracic paravertebral blocks, we performed midpoint transverse process to pleura blocks in 3 patients before general anesthesia for modified radical mastectomies. The midpoint transverse process to pleura blocks served as the major component of multimodal analgesia. With ultrasound guidance, 7 mL of a mixture of 0.75% ropivacaine and 2% lidocaine with epinephrine were deposited at T2, T4, and T6 levels. We noted decreased sensation to cold and pinprick from T2 to T8 dermatome level with sparing of axilla and infraclavicular areas. The maximum pain numeric rating scale score (0-10) was 4 out on movement and none had mean 24-hour numeric rating scale >3.

引用

页码：73 / 76

页数：4

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