Hypnosis and Axillary Compartment Block for Breast Cancer Surgery

Fuzier, Régis; Achelous, Sylviane; Salvignol, Geneviève; Jouve, Eva

doi:10.1213/xaa.0000000000000532

Cited by 3 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Jajur described a modified SPB between the second and third ribs in the midaxillary line with 10ml of 0.75% ropivacaine associated with adrenaline as effective for a patient undergoing axillary dissection 10 . In another case report, hypnosis and remifentanil techniques were combined with SPB superficial to the serratus anterior muscle to perform a lateral lumpectomy and axillary dissection 11 . Oliveira et al described the use of SPB and supraclavicular brachial plexus block combined with sedation with dexmedetomidine and ketamine for a patient undergoing debridement of axillary necrotizing fasciitis 12 .…”

Section: Discussionmentioning

confidence: 99%

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…Hypnosis as analgesia has also been implemented in other operations such as thyroid removal, termination of pregnancy, removal of skin tumor or inguinal repair. The results of the implementation showed that hypnosis produced significant positive effects in reducing stress, pain, drug consumption, physiological parameters, and duration of surgery [7]. In patients undergoing laparoscopic cholecystectomy, hypnosis may be recommended for use in the preoperative period to be an adjunct therapy of usual care in reducing pain and taking sedatives.…”

Section: Searching Techniques and Selection Criteriamentioning

confidence: 99%

“…[2][3][4]. Hypnosis can be used to treat pain at the perioperative stage in various types of surgery [5], such as cardiac surgery [2], cataract surgery [4], liposuction surgery [3], endocrine surgery [6], breast surgery [7], musculoskeletal surgery [8] and so on.…”

Section: Introductionmentioning

confidence: 99%

Hypnosis is a Surgical Pain Intervention: A Systematic Review

Awaludin¹,

Nurachmah²,

Novitasari³

2020

Proceedings of the 1st International Conference on Community Health (ICCH 2019)

View full text Add to dashboard Cite

Surgery is a medical procedure that can cause perioperative pain. Pain in the perioperative phase that received by the patient can cause various complications. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain. The purpose of the review is to perform a systematic review of the literature. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain in surgery. A comprehensive article search through EBSCO, PROQUEST, and Scopus, the original article was sought in the period of publication between 1999 and 2019. The original articles reported on the effectiveness of hypnosis with surgical patient inclusion criteria. A total of 1994 studies have been identified in the literature search. However, only 27 studies were eligible for analysis in this study. The instruments used were visual analogue scale and numeric rating scale questionnaire were used to identify the level of pain in the study. The outcome revealed that hypnosis can decrease level of pain in each perioperative phase significantly. Further research needs to be done to add strong evidence about the use of hypnosis for perioperative pain management.

show abstract

“…Jajur descreveu um BPS modificado entre a segunda e a terceira costelas na linha axilar média com 10ml de ropivacaína 0,75% associado a adrenalina como eficaz para um paciente submetido a dissecção axilar 10 . Em outro relato de caso, técnicas de hipnose e remifentanil foram combinadas ao BPS superficial ao músculo Serratil anteriror para execução de lumpectomia lateral e dissecção axilar 11 . Oliveira et al descreveram o uso de BPS e bloqueio do plexo braquial supraclavicular combinados a sedação com dexmedetomidina e cetamina para um paciente submetido a debridamento de fasciíte necrotizante axilar 12 .…”

Section: Introductionunclassified

Bloqueio do plano do músculo serrátil guiado por ultrassonografia associado à sedação venosa como técnica anestésica em cirurgia de linfadenectomia axilar: uma série de casos prospectiva

Theobald

Araujo

Thuler

et al. 2023

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO A linfadenectomia axilar é um procedimento cirúrgico padrão para tratamento de tumores de pele e partes moles no estádio III e usualmente é realizada sob anestesia geral. A presente serie de casos prospectiva tem por objetivo investigar a viabilidade da realização da linfadenectomia axilar com o uso do bloqueio do plano do músculo serrátil anterior associado a sedação endovenosa. Foram incluídos 15 pacientes no estudo. Os participantes foram recrutados e avaliados durante consulta pré-anestésica ambulatorial, acompanhados durante o dia da cirurgia, no primeiro e no trigésimo dias de pós-operatório. O bloqueio foi realizado anterior ao músculo serrátil anterior ao nível da quarta costela na linha axilar média. A sedação foi realizada com o uso de propofol, fentanil, dexmedetomidina e dextrocetamina. Não houve necessidade de conversão para anestesia geral em nenhum paciente. Os cirurgiões apresentaram resposta altamente positiva quando questionados sobre a técnica anestésica, considerando na maior parte dos casos “indistinguível” da anestesia geral. A mediana (intervalo interquartil) da dor em repouso em todos os momentos avaliados foi 0 (0-0). Além disso, nenhum paciente desenvolveu náuseas, vômitos, instabilidade hemodinâmica ou qualquer complicação relacionada à técnica empregada. O bloqueio do plano do músculo Serrátil anterior associado a sedação venosa se mostrou viável para execução de linfadenectomia axilar, entretanto ensaios clínicos adicionais são necessários para avaliar potenciais vantagens em comparação com outras técnicas.

show abstract

Hypnosis and Axillary Compartment Block for Breast Cancer Surgery

Cited by 3 publications

References 15 publications

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series

Hypnosis is a Surgical Pain Intervention: A Systematic Review

Bloqueio do plano do músculo serrátil guiado por ultrassonografia associado à sedação venosa como técnica anestésica em cirurgia de linfadenectomia axilar: uma série de casos prospectiva

Contact Info

Product

Resources

About