Case report: Serratus intercostal plane block/BRILMA and sedation for mastectomy in a high risk patient

Sanllorente-Sebastián, Rodrigo; Vicente-Lorenzo, J.M. de; Mediavilla-Herrera, F.J.; Gutiérrez-García, S.; Alario-Poza, I.S.; Bustinza-Beaskoetxea, Z.

doi:10.1016/j.redare.2018.06.009

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…No obstante, el estudio cuenta con diversas limitaciones. Como principal y que es común a muchos otros estudios publicados [22]- [25], no se diferenció un único tipo de intervención quirúrgica sino que se incluyeron muy diferentes tipos de intervenciones. Para controlar esta variable, se estratificó de la manera descrita previamente; categorizando tres tipos de cirugías según su complejidad (menor, intermedia y mayor) y sometiendo a test estadístico Chi cuadrado.…”

Section: Discussionunclassified

Análisis de tres métodos de anestesia regional en prevención de dolor tras cirugía tumoral de mama

Romero-Serrano,

Forte,

Pérez Pérez

et al. 2024

Rev. chil. anest.

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Section: Discussionunclassified

Análisis de tres métodos de anestesia regional en prevención de dolor tras cirugía tumoral de mama

Romero-Serrano,

Forte,

Pérez Pérez

et al. 2024

Rev. chil. anest.

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“…Other superficial facial blocks have been reported in case reports of MRM despite the uncertainty of local anesthetic diffusion and patchy coverage. In order to ensure the anesthesia effect, serratus anterior plane block was often combined with remifentanil infusion and 3 supplementary subcutaneous infiltrations of the intercostobrachial nerve, medial branches of the intercostal nerve and superficial cervical plexus[ 18 ], or 30 mg ketamine[ 19 ]. It was confirmed that the erector spinae plane at T4 was feasible for MRM, however fentanyl supplementation was required in all cases[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Combined thoracic paravertebral block and interscalene brachial plexus block for modified radical mastectomy: A case report

Hu¹,

Sun²,

Wang³

et al. 2022

WJCC

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BACKGROUND Modified radical mastectomy (MRM) is the most common surgical treatment for breast cancer. General anesthesia poses a challenge in fragile MRM patients, including cardiovascular instability, insufficient postoperative pain control, nausea and vomiting. Thoracic paravertebral block (TPVB) is adequate for simple mastectomy, but its combination with interscalene brachial plexus block (IBPB) has not yet been proved to be an effective anesthesia method for MRM. CASE SUMMARY We describe our experience of anesthesia and pain management in 10 patients with multiple comorbidities. An ultrasound-guided TPVB was placed at T2-T3 and T5-T6, and combined with IBPB, with administration of 10, 15 and 5 mL of 0.5% ropivacaine, respectively. A satisfactory anesthetic effect was proved by the absence of ipsilateral tactile sensation within 30 min. Propofol 3 mg/kg/h and oxygen supplementation via a nasal cannula were administered during surgery. None of the patients required additional narcotics, vasopressors, or conversion to general anesthesia. The maximum pain score was 2 on an 11-point numerical rating scale. Two patients required one dose of celecoxib 8 h postoperatively and none reported nausea or emesis. CONCLUSION This case series demonstrated that combined two-site TPVB and small-volume IBPB with sedation can be used as an alternative anesthetic modality for MRM, providing good postoperative analgesia.

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Bloqueo BRILMA para extirpación de cartílago costal: caso clínico

Pereira

Silva

Veiga³

et al. 2020

Revista Española de Anestesiología y Reanimación

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Case report: Serratus intercostal plane block/BRILMA and sedation for mastectomy in a high risk patient

Cited by 5 publications

References 7 publications

Análisis de tres métodos de anestesia regional en prevención de dolor tras cirugía tumoral de mama

Análisis de tres métodos de anestesia regional en prevención de dolor tras cirugía tumoral de mama

Combined thoracic paravertebral block and interscalene brachial plexus block for modified radical mastectomy: A case report

Bloqueo BRILMA para extirpación de cartílago costal: caso clínico

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