Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report
Abebayehu Zemedkun, Belete Destaw, Mesay Milkias Department of Anesthesiology, College of Medicine and Health Science, Dilla University, Dilla, EthiopiaCorrespondence: Abebayehu ZemedkunDepartment of Anesthesiology, College of Medicine and Health Science, Dilla University, PO Box 419/13, Dilla, Ethi...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2021-01-01
|
| Series: | Local and Regional Anesthesia |
| Subjects: | |
| Online Access: | https://www.dovepress.com/anatomic-landmark-technique-thoracic-paravertebral-nerve-block-as-a-so-peer-reviewed-article-LRA |
| _version_ | 1818723871265652736 |
|---|---|
| author | Zemedkun A Destaw B Milkias M |
| author_facet | Zemedkun A Destaw B Milkias M |
| author_sort | Zemedkun A |
| collection | DOAJ |
| description | Abebayehu Zemedkun, Belete Destaw, Mesay Milkias Department of Anesthesiology, College of Medicine and Health Science, Dilla University, Dilla, EthiopiaCorrespondence: Abebayehu ZemedkunDepartment of Anesthesiology, College of Medicine and Health Science, Dilla University, PO Box 419/13, Dilla, EthiopiaTel +251900053426Email abe.z01n@gmail.comAbstract: Mastectomy is mostly performed as definitive management for resectable breast cancer. Implementing paravertebral nerve block for patients with metastasis features of cancer to lungs and other organs, patients with co-morbidity, geriatrics, and malnourished individuals will eliminate the risks and complications of general anesthesia. Though thoracic paravertebral block is an established technique as postoperative pain management for breast surgery, there is no conclusive evidence on its use as a sole anesthetic for modified radical mastectomy. In this case report, we present a 33-year-old woman who underwent a successful modified radical mastectomy for stage IIIb breast cancer associated with clinical and radiological features of metastasis to the lung under a multiple injection landmark technique paravertebral nerve block. We believe that the anatomic landmark technique paravertebral nerve block can be used as an alternative anesthetic technique for modified radical mastectomy in a resource-limited setting for patients who are expected to have a high risk of perioperative complications under general anesthesia.Keywords: mastectomy, breast cancer, paravertebral block, metastasis, landmark technique |
| first_indexed | 2024-12-17T21:17:24Z |
| format | Article |
| id | doaj.art-678e765e0077453089d2a82366cec443 |
| institution | Directory Open Access Journal |
| issn | 1178-7112 |
| language | English |
| last_indexed | 2024-12-17T21:17:24Z |
| publishDate | 2021-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Local and Regional Anesthesia |
| spelling | doaj.art-678e765e0077453089d2a82366cec4432022-12-21T21:32:17ZengDove Medical PressLocal and Regional Anesthesia1178-71122021-01-01Volume 141561183Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case ReportZemedkun ADestaw BMilkias MAbebayehu Zemedkun, Belete Destaw, Mesay Milkias Department of Anesthesiology, College of Medicine and Health Science, Dilla University, Dilla, EthiopiaCorrespondence: Abebayehu ZemedkunDepartment of Anesthesiology, College of Medicine and Health Science, Dilla University, PO Box 419/13, Dilla, EthiopiaTel +251900053426Email abe.z01n@gmail.comAbstract: Mastectomy is mostly performed as definitive management for resectable breast cancer. Implementing paravertebral nerve block for patients with metastasis features of cancer to lungs and other organs, patients with co-morbidity, geriatrics, and malnourished individuals will eliminate the risks and complications of general anesthesia. Though thoracic paravertebral block is an established technique as postoperative pain management for breast surgery, there is no conclusive evidence on its use as a sole anesthetic for modified radical mastectomy. In this case report, we present a 33-year-old woman who underwent a successful modified radical mastectomy for stage IIIb breast cancer associated with clinical and radiological features of metastasis to the lung under a multiple injection landmark technique paravertebral nerve block. We believe that the anatomic landmark technique paravertebral nerve block can be used as an alternative anesthetic technique for modified radical mastectomy in a resource-limited setting for patients who are expected to have a high risk of perioperative complications under general anesthesia.Keywords: mastectomy, breast cancer, paravertebral block, metastasis, landmark techniquehttps://www.dovepress.com/anatomic-landmark-technique-thoracic-paravertebral-nerve-block-as-a-so-peer-reviewed-article-LRAmastectomybreast cancerparavertebral blockmetastasisland mark technique |
| spellingShingle | Zemedkun A Destaw B Milkias M Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report Local and Regional Anesthesia mastectomy breast cancer paravertebral block metastasis land mark technique |
| title | Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report |
| title_full | Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report |
| title_fullStr | Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report |
| title_full_unstemmed | Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report |
| title_short | Anatomic Landmark Technique Thoracic Paravertebral Nerve Block as a Sole Anesthesia for Modified Radical Mastectomy in a Resource-Poor Setting: A Clinical Case Report |
| title_sort | anatomic landmark technique thoracic paravertebral nerve block as a sole anesthesia for modified radical mastectomy in a resource poor setting a clinical case report |
| topic | mastectomy breast cancer paravertebral block metastasis land mark technique |
| url | https://www.dovepress.com/anatomic-landmark-technique-thoracic-paravertebral-nerve-block-as-a-so-peer-reviewed-article-LRA |
| work_keys_str_mv | AT zemedkuna anatomiclandmarktechniquethoracicparavertebralnerveblockasasoleanesthesiaformodifiedradicalmastectomyinaresourcepoorsettingaclinicalcasereport AT destawb anatomiclandmarktechniquethoracicparavertebralnerveblockasasoleanesthesiaformodifiedradicalmastectomyinaresourcepoorsettingaclinicalcasereport AT milkiasm anatomiclandmarktechniquethoracicparavertebralnerveblockasasoleanesthesiaformodifiedradicalmastectomyinaresourcepoorsettingaclinicalcasereport |