Author(s):
1. Tanveer Alam:
Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.
2. Rabeea Sajid Qureshi:
Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.
3. Syed Raza Mehdi:
Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.
Abstract:
We report the anaesthetic management of a breast cancer patient, at a high risk for undergoing general anaesthesia, using a single-shot ultrasound-guided Erector Spinae Plane Block (ESPB) with monitored sedation. Targetted at T4, 20 mL of 0.375% bupivacaine provided complete surgical anaesthesia in 15 minutes. Concurrent sedation was administered with targetcontrolled infusion of propofol with entropy monitoring throughout the procedure. The surgery lasted 90 minutes and the patient remained pain free and haemodynamically stable throughout. At the end of the surgery, the patient received 1 g of paracetamol intravenously, and did not require any further analgesics other than routinely administered paracetamol until her discharge from the hospital. On top of the successful execution of our plan, this case was especially interesting as her postoperative analgesia remained completely opioid-free.
Page(s):
1735-1737
Published:
Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 8, Year: 2023
Keywords:
Ultrasound
,
Breast cancer
,
Analgesia
,
pain
,
Erector spinae plane block
,
Regional anaesthesia
,
esp block
,
fascial plane block
References:
References are not available for this document.
Citations
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