Combined fascial plane blocks as the sole regional anesthesia technique for breast surgery in high-risk patients.

Autor:	Thota RS; Department of Anaesthesiology, Critical Care and Pain, Homi Bhabha National Institute, Tata Memorial Centre, E Borges Road, Parel, Mumbai, Maharashtra, India., Seshadri R; Department of Anaesthesiology, Critical Care and Pain, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Gajuwaka Mandalam, Vishakapatnam, Andhra Pradesh, India., Panigrahi AR; Department of Anaesthesiology, Critical Care and Pain, Homi Bhabha Cancer Hospital and Research Centre, Aganampudi, Gajuwaka Mandalam, Vishakapatnam, Andhra Pradesh, India.
Jazyk:	angličtina
Zdroj:	Journal of anaesthesiology, clinical pharmacology [J Anaesthesiol Clin Pharmacol] 2023 Apr-Jun; Vol. 39 (2), pp. 312-316. Date of Electronic Publication: 2022 Nov 29.
DOI:	10.4103/joacp.joacp_265_21
Abstrakt:	The quest for an effective regional anaesthesia technique in breast surgery has always been eluded by its apparent complexity. Various techniques had been described as anaesthetic techniques for breast cancer surgeries. Fascial plane blocks had been used as analgesic techniques for this procedure. We describe a case series of 12 patients who were given a combination of erector spinae plane block (ESP), Pectoralis I (Pecs I) and serratus anterior plane (SAP) block as sole anaesthetic technique with high risk surgical morbidity. Two patients had discomfort during retraction of axillary apex towards the end of surgery, and one patient had discomfort during medial parasternal incision, which needed a single bolus of low dose ketamine injection. Combined fascial plane blocks could be effectively utilized as a sole regional anesthesia modality for breast cancer surgeries with mild sedation. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Journal of Anaesthesiology Clinical Pharmacology.)
Databáze:	MEDLINE
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