Chest Wall Regional Anesthesia for Modified Radical Mastectomy and Axillary Lymph Node Dissection: A Case Report. Issue 6 (27th May 2021)

• Record Type: Journal Article
• Authors: Bhakta, Pradipta; Mac Sweeney, Kevin; O'Donnell, Brian D.
• Is Part Of: A & A practice. Volume 15:Issue 6(2020)
• Page Start: e01482
• Publication Date: 2021-05-27
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001482
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Supplemental Digital Content is available in the text. Abstract : Restrictive chest wall disorders impair cardiopulmonary physiology and pose anesthesia-related safety challenges. Regional anesthesia, as the primary anesthetic modality, may mitigate general anesthesia-related risks in such patients presenting for breast cancer surgery. We describe the use of chest wall fascial plane blocks as the primary anesthetic, combined with high-flow humidified nasal oxygen and low-dose propofol sedation, in a patient with complex comorbidities presenting for modified radical mastectomy and axillary lymph node dissection.