Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report

Zemedkun, Abebayehu; Destaw, Belete; Milkias, Mesay

doi:10.2147/lra.s291308

Cited by 1 publication

(2 citation statements)

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“…The utilization of TPVB for patients who will undergo mastectomy as a sole anesthetic has been demonstrated in the literature as an alternative and good choice for patients with a high risk of intraoperative and postoperative morbidity and mortality from GA ( 5 , 10 ).…”

Section: Discussionmentioning

confidence: 99%

“…Previous publications demonstrate the feasibility of using the TPVB as a sole anesthetic with an excellent improved postoperative course and reduced postoperative opioid requirements and the duration of hospital stays [ 5 ], However, sole use of TPVB is not sufficient for extensive axillary dissection. Combining TPVB and ISB would improve the quality of analgesia after extensive breast surgery with axillary lymph node dissection performed under general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

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Combined Thoracic Paravertebral Block-Interscalene Block as a Primary Anesthetic for Modified Radical Mastectomy: A Case Report

AlBassam

2023

Med Arch

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Background: Regional anesthesia as a primary anesthetic can offer merits over general anesthesia for patients having multiple comorbidities who are at a high risk of perioperative morbidity and mortality. Thoracic paravertebral block (TPVB) and interscalene block (ISB) have been used widely to improve the quality of postoperative analgesia after breast surgery. Objective: There are limited data on the feasibility of combining TPVB-ISB as a sole anesthetic technique for extensive breast surgery with axillary lymph nodes dissection.Case presentation: In this report, the author presented a successful use of a combined TPVB and ISB as a sole anesthetic with conscious sedation in a 52-year-old patient with multiple comorbidities, including heart failure with reduced ejection fraction, who underwent modified radical mastectomy with left axillary lymph nodes dissection. Conclusion: Combining TPVB-ISB can be used as a sole anesthetic for extensive breast surgery in patients with a high risk for general anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%