Clinical case: ultrasound-guided deep serratus muscle block for simple mastectomy in patient with severe pulmonary hypertension

Authors

  • Xènia Carré Associate of the Anesthesiology and Resuscitation Service of the Sant Joan de Reus University Hospital. Spain.
  • Alejandra Mira Puerto Associate of the Anesthesiology and Resuscitation Service of the Sant Joan de Reus University Hospital. Spain.
  • MC Martínez Segovia Associate of the Anesthesiology and Resuscitation Service of the Virgen de la Arrixaca University Clinical Hospital. Spain.
  • Pilar Sala Francino Head and assistant of the Anesthesiology and Resuscitation Service of the Sant Joan de Reus University Hospital. Spain.

DOI:

https://doi.org/10.30445/rear.v15i12.1190

Keywords:

Pulmonary hypertension, simple mastectomy, BRILMA block, ultrasound-guided block

Abstract

The incidence of breast cancer has been increasing in recent years. Its main treatment is surgical, the most common being the combined use of general anesthesia with regional ultrasound-guided techniques.
We present the case of a patient with high respiratory morbidity who underwent a simple mastectomy who underwent an ultrasound-guided block of the lateral cutaneous branches of the intercostal nerves (BRILMA) associated with sedation, avoiding general anesthesia, with implications at the respiratory that it entails.
In patients with high anesthetic risk, regional anesthesia is the treatment of choice. This is why locoregional anesthesia is postulated as an ideal alternative in polypathological patients.

References

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Published

2024-01-02

How to Cite

Carré, X., Mira Puerto , A., Martínez Segovia , M., & Sala Francino , P. (2024). Clinical case: ultrasound-guided deep serratus muscle block for simple mastectomy in patient with severe pulmonary hypertension. Revista Electrónica AnestesiaR, 15(12). https://doi.org/10.30445/rear.v15i12.1190

Issue

Vol. 15 No. 12 (2023): Revista Electrónica de AnestesiaR

Section

Clinical case reports

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