Thoracic Paravertebral Block and Interscalene Brachial Plexus Block Superficial Cervical Plexus Block for Breast Surgery in A Patient with Ischemic Heart Disease

Vol 5 | Issue 3 | Sep-Dec 2019 | page: 31-33  | C. Pranab Nirmal , C. Gowrishankar


Authors: C. Pranab Nirmal [1] , C. Gowrishankar [2]

Address of Correspondence
Dr. C.Pranab Nirmal

Assistant Professor, Institute Of Transplant,
Madras Medical College, Chennai, Tamil Nadu, India
Email: nirmal15mmc@gmail.com

1 Institute Of Anaesthesia, Madurai Medical College, Madurai, Tamilnadu, India.
2 Institute Of Transplant, Madras Medical College, Chennai, Tamilnadu, India.


Introduction: We report a case of 53 years old female diagnosed with carcinoma of breast posted for modified radical mastectomy. Her comorbidities included ischemic heart disease, Anterior wall ischemia with severe Global systolic Dysfunction . The surgery was successfully completed under thoracic paravertebral block and interscalene Brachial plexus block and superficial cervical plexus block. Regional techniques like paravertebral block and interscalene brachial plexus block, superficial cervical plexus block are one of the preferred modalities in high risk cases and gives good intraoperative conditions with adequate postoperative analgesia and with least hemodynamic alterations
Keywords: Paravertebral block, Interscalene brachial plexus block, Superficial cervical plexus block, Carcinoma breast, Postoperative analgesia.


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How to Cite this Article: Pranab Nirmal C, Gowrishankar C | Thoracic Paravertebral Block and Interscalene Brachial Plexus Block Superficial Cervical Plexus Block for Breast Surgery in A Patient with Ischemic Heart Disease | Journal of Anaesthesia and Critical Care Case Reports | Sep – Dec 2019; 5(3): 31-33.

 


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