Ultrasound guided continuous paravertebral block in a patient with coronary heart disease and sleep apnea syndrome

• Published in: Aǧrı Vol. 28; no. 1; pp. 42 - 45
• Main Authors: Esen, Bilgiser, Bircan, Hüseyin Yüce, Çınar, Özlem, Türköz, Ayda
• Format: Journal Article
• Language: English
• Published: Turkey 01-01-2016
• Subjects: Aged; Coronary Artery Disease; Female; Humans; Mastectomy, Radical; Nerve Block; Pain, Postoperative - prevention & control; Sleep Apnea Syndromes; Syndrome; Thoracic Vertebrae; Ultrasonography, Interventional
• ISSN: 1300-0012
• DOI: 10.5505/agri.2014.82474

The case of a 77-year-old patient with severe coronary heart disease who underwent radical mastectomy with axillary lymph node dissection by ultrasound-guided continuous paravertebral block (CPVB) is described in the present report. Radical mastectomy with axillary dissection is a surgical procedure that necessitates endotracheal intubation and is usually performed under general anesthesia, which carries heightened risk for patients with coronary heart disease (CHD) and sleep apnea syndrome (SAS). Ultrasound-guided CPVB is a simple and safe alternative technique that allows for the use of anesthesia and postoperative analgesia with minimal side effects.