Peripheral Nerve Stimulator-Guided Regional Anaesthesia for Modified Radical Mastectomy in High-Risk Patients – A Case Series

Vol 7 | Issue 3 | September-December 2021 | Page: 26-28 | Kala Eswaran, Satish V Kamat

DOI: 10.13107/jaccr.2021.v07i03.189


Author: Kala Eswaran [1], Satish V Kamat [2]

[1] Department of Anaesthesia, Asha Cancer Hospital and Research Centre, Thane, Maharashtra, India.
[2] Department of Oncosurgery, Asha Cancer Hospital and Research Centre, Thane, Maharashtra, India.

Address of Correspondence
Dr. Kala Eswaran,
Consultant Anaesthetist, Asha Cancer Hospital and Research Centre, Thane, Maharashtra, India.
E-mail: drkalaeswaran@gmail.com


Peripheral Nerve Stimulator-Guided Regional Anaesthesia for Modified Radical Mastectomy in High-Risk Patients – A Case Series


Abstract

Thoracic paravertebral block (TPVB) is an effective and time-tested regional anesthesia (RA) technique of anesthesia/analgesia for breast surgeries. It can be performed by landmark guided, peripheral nerve stimulator (PNS) guided or ultrasound-guided techniques. We used PNS guided TPVB for carcinoma breast surgery in fifteen high-risk patients where general anesthesia was not feasible. All patients had undergone surgeries under standalone RA techniques and without any block-related complications. We describe 15 cases in which PNS guided TPVB and supraclavicular brachial plexus block were performed to conduct modified radical mastectomy under RA and monitored anesthesia care.
Keywords: Paravertebral block, Supraclavicular brachial plexus block, Carcinoma breast, Postoperative analgesia.


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How to Cite this Article: Eswaran K, Kamat SV |   Peripheral Nerve Stimulator-Guided Regional Anaesthesia for Modified Radical Mastectomy in High-Risk Patients – A Case Series | Journal of Anaesthesia and Critical Care Case Reports | September-December 2021; 7(3): 26-28.

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