Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease

Thorasic paravertebral block (PVB) ,thorasic epidural and pectoral nerve blocks can be used as a regional anesthetic option for breast surgery. Thorasic PVB is defined as injection of local anesthesthetic solution at the site where spinal nerves emerges from paravertebral foramen. It produces uni...

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Main Authors: Betul Basaran, Hande Koksal
Format: Article
Language:English
Published: Society of Turaz Bilim 2017-09-01
Series:Medicine Science
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=256810
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author Betul Basaran
Hande Koksal
author_facet Betul Basaran
Hande Koksal
author_sort Betul Basaran
collection DOAJ
description Thorasic paravertebral block (PVB) ,thorasic epidural and pectoral nerve blocks can be used as a regional anesthetic option for breast surgery. Thorasic PVB is defined as injection of local anesthesthetic solution at the site where spinal nerves emerges from paravertebral foramen. It produces unilateral motor, sensory and sympathetic block, hence PVB could be an anesthetic choice in patients with severe cardiopulmonary disease. We report a case of an 78 year old patient with severe cardiopulmonary disease undergoing simple mastectomy by thorasic paravertebral block without any hemodynamic or respiratory derangement during perioperative period. In high risk patient, the use of PVB provides hemodynamic and respiratory stability with satisfactory anesthetic and analgesic efficacy [Med-Science 2017; 6(3.000): 570-1]
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spelling doaj.art-2fdf53ef0cad4994964b5b9d1011a5492024-02-03T05:37:09ZengSociety of Turaz BilimMedicine Science2147-06342017-09-0163570110.5455/medscience.2017.06.8606256810Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary diseaseBetul Basaran0Hande Koksal1Konya Training and Research Hospital Konya Training and Research HospitalThorasic paravertebral block (PVB) ,thorasic epidural and pectoral nerve blocks can be used as a regional anesthetic option for breast surgery. Thorasic PVB is defined as injection of local anesthesthetic solution at the site where spinal nerves emerges from paravertebral foramen. It produces unilateral motor, sensory and sympathetic block, hence PVB could be an anesthetic choice in patients with severe cardiopulmonary disease. We report a case of an 78 year old patient with severe cardiopulmonary disease undergoing simple mastectomy by thorasic paravertebral block without any hemodynamic or respiratory derangement during perioperative period. In high risk patient, the use of PVB provides hemodynamic and respiratory stability with satisfactory anesthetic and analgesic efficacy [Med-Science 2017; 6(3.000): 570-1]http://www.ejmanager.com/fulltextpdf.php?mno=256810Breast surgerytorasik paravertebral blokcardiopulmonary disease
spellingShingle Betul Basaran
Hande Koksal
Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
Medicine Science
Breast surgery
torasik paravertebral blok
cardiopulmonary disease
title Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
title_full Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
title_fullStr Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
title_full_unstemmed Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
title_short Ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
title_sort ultrasound guided thorasic paravertebral block for breast surgery in a patient with severe cardiopulmonary disease
topic Breast surgery
torasik paravertebral blok
cardiopulmonary disease
url http://www.ejmanager.com/fulltextpdf.php?mno=256810
work_keys_str_mv AT betulbasaran ultrasoundguidedthorasicparavertebralblockforbreastsurgeryinapatientwithseverecardiopulmonarydisease
AT handekoksal ultrasoundguidedthorasicparavertebralblockforbreastsurgeryinapatientwithseverecardiopulmonarydisease