| Autor: |
Hiroshi Aoki, Yoshiaki Terao, Ekuko Fujimoto, Makito Oji, Natsuko Oji, Hiroki Iwanaga, Tetsuya Hara |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Journal of Advances in Medicine and Medical Research. 35:54-59 |
| ISSN: |
2456-8899 |
| DOI: |
10.9734/jammr/2023/v35i85004 |
| Popis: |
Aims: Nipple-sparing mastectomy with latissimus dorsi flap reconstruction (NMLR) may cause moderate to severe postoperative pain. Herein, two cases in which multiple-level RLB injections provided good analgesia for two patients who underwent NMLR are reported. Thoracic paravertebral block (TPVB) is recommended as the first-line regional analgesic technique for breast cancer surgery. Multiple-level TPVBs may provide effective analgesia for NMLR but may increase the risk of complications. A retrolaminar block (RLB), a known alternative to a TPVB, has a lower risk of complications and multiple-level RLB injections may be safely performed. Presentation of Cases: NMLR was planned for two patients with breast cancer. Multiple-level RLB injections were administered for postoperative pain management. In both cases, the numerical rating scale scores measured at rest were low postoperatively, suggesting that multiple-level RLB injections effectively managed postoperative pain. Adequate analgesia was achieved using multiple-level RLB injections without additional drug administration in both patients. Discussion and Conclusion: Multiple-level RLB injections may be widely used as appropriate dosages of local anesthetics are considered. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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