Ultrasound-Guided Midpoint Transverse Process to Pleura Block in Breast Cancer Surgery: A Case Report. Issue 3 (1st February 2019)

• Record Type: Journal Article
• Authors: Bhoi, Debesh; Narasimhan, Purnima; Nethaji, Ranjitha; Talawar, Praveen
• Is Part Of: A & A practice. Volume 12:Issue 3(2019)
• Publication Date: 2019-02-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000850
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : To avoid the safety issues related to thoracic paravertebral blocks, we performed midpoint transverse process to pleura blocks in 3 patients before general anesthesia for modified radical mastectomies. The midpoint transverse process to pleura blocks served as the major component of multimodal analgesia. With ultrasound guidance, 7 mL of a mixture of 0.75% ropivacaine and 2% lidocaine with epinephrine were deposited at T2, T4, and T6 levels. We noted decreased sensation to cold and pinprick from T2 to T8 dermatome level with sparing of axilla and infraclavicular areas. The maximum pain numeric rating scale score (0–10) was 4 out on movement and none had mean 24-hour numeric rating scale >3.