Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy
Thoracic epidural anesthesia with ipsilateral brachial plexus block is emerging as an alternative to general anesthesia for oncologic breast surgery.1. A 31 year old, pneumonectomised female with a past history of MDR TB was diagnosed with infiltrating ductal carcinoma in left breast 2 months ago an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil University |
| Subjects: | |
| Online Access: | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2017;volume=10;issue=6;spage=605;epage=607;aulast=Dua |
| _version_ | 1827300173994262528 |
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| author | Mridul Dua Bhoomi Raval Syeda Farha Nasreen V R R. Chari |
| author_facet | Mridul Dua Bhoomi Raval Syeda Farha Nasreen V R R. Chari |
| author_sort | Mridul Dua |
| collection | DOAJ |
| description | Thoracic epidural anesthesia with ipsilateral brachial plexus block is emerging as an alternative to general anesthesia for oncologic breast surgery.1. A 31 year old, pneumonectomised female with a past history of MDR TB was diagnosed with infiltrating ductal carcinoma in left breast 2 months ago and was posted for MRM. She also had moderate Pulmonary Arterial Hypertension. Thoracic epidural anesthesia was induced with 12 ml of 0.5% Ropivacaine at T6-T7 level. Interscalene block was given with 10 ml 0.5% Ropivacaine using peripheral nerve locator. Patient was comfortable throughout the procedure and remained vitally stable. Post-operative analgesia was given with 10 ml of 0.2% ropivacaine and patient was discharged the following week. Thoracic epidural anesthesia provides the advantage of superior intra and post-operative analgesia without the adverse effects of general anesthesia like postoperative nausea, vomiting, respiratory depression and sedation.2 Coupled with interscalene block for axillary lymph node dissection, it can be successfully used as an alternative to GA for MRM. |
| first_indexed | 2024-03-12T22:35:05Z |
| format | Article |
| id | doaj.art-02d41b3523c74e85bc10bab45020b6fb |
| institution | Directory Open Access Journal |
| issn | 0975-2870 2278-7119 |
| language | English |
| last_indexed | 2024-04-24T15:48:45Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil University |
| spelling | doaj.art-02d41b3523c74e85bc10bab45020b6fb2024-04-01T13:01:03ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702278-71192017-01-0110660560710.4103/MJDRDYPU.MJDRDYPU_2_17Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomyMridul DuaBhoomi RavalSyeda Farha NasreenV R R. ChariThoracic epidural anesthesia with ipsilateral brachial plexus block is emerging as an alternative to general anesthesia for oncologic breast surgery.1. A 31 year old, pneumonectomised female with a past history of MDR TB was diagnosed with infiltrating ductal carcinoma in left breast 2 months ago and was posted for MRM. She also had moderate Pulmonary Arterial Hypertension. Thoracic epidural anesthesia was induced with 12 ml of 0.5% Ropivacaine at T6-T7 level. Interscalene block was given with 10 ml 0.5% Ropivacaine using peripheral nerve locator. Patient was comfortable throughout the procedure and remained vitally stable. Post-operative analgesia was given with 10 ml of 0.2% ropivacaine and patient was discharged the following week. Thoracic epidural anesthesia provides the advantage of superior intra and post-operative analgesia without the adverse effects of general anesthesia like postoperative nausea, vomiting, respiratory depression and sedation.2 Coupled with interscalene block for axillary lymph node dissection, it can be successfully used as an alternative to GA for MRM.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2017;volume=10;issue=6;spage=605;epage=607;aulast=Duamodified radical mastectomypneumonectomythoracic epidural anesthesia |
| spellingShingle | Mridul Dua Bhoomi Raval Syeda Farha Nasreen V R R. Chari Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy Medical Journal of Dr. D.Y. Patil University modified radical mastectomy pneumonectomy thoracic epidural anesthesia |
| title | Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| title_full | Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| title_fullStr | Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| title_full_unstemmed | Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| title_short | Thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| title_sort | thoracic epidural anesthesia and interscalene block for a pneumonectomized patient posted for modified radical mastectomy |
| topic | modified radical mastectomy pneumonectomy thoracic epidural anesthesia |
| url | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2017;volume=10;issue=6;spage=605;epage=607;aulast=Dua |
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