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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Pectoral nerve block as a single anesthetic technique for breast surgery and sen...
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Vol. 65. Issue 9.
Pages 534-536 (November 2018)
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Vol. 65. Issue 9.
Pages 534-536 (November 2018)
Case report
Pectoral nerve block as a single anesthetic technique for breast surgery and sentinel lymph node investigation
Bloqueo de nervios pectorales como técnica anestésica única para cirugía mamaria con biopsia de ganglio centinela
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10
M. Campos
Corresponding author
martagcampos@hotmail.com

Corresponding author.
, J. Azevedo, L. Mendes, H. Rebelo
Department of Anesthesiology, Centro Hospitalar de São João, Porto, Portugal
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Abstract

Breast cancer surgery is usually performed under general anesthesia or, more recently, combined with conventional regional techniques. Pectoral nerves (PECs) block appears as an analgesic alternative in these procedures, but few studies refer to it as a single anesthetic technique.1–3

In this case report, we describe a 56-year-old female patient, BMI 31kg/m2, ASA IV, admitted for elective tumorectomy of the left upper quadrant of the breast and sentinel node investigation. Given the multiple comorbidities and the high anesthetic and surgical risk, the anesthetic plan consisted in ultrasound guided PECs II block as a single anesthetic technique.

The authors report a successful anesthetic and pain management without complications in breast surgery. PECs block, as a single anesthetic technique, may be safe, advantageous and effective with hemodynamic stability and few side effects in high risk cardiac patients.

Keywords:
Pectoral nerves
PECs block
Breast surgery
Regional anesthesia
Ultrasonography
Resumen

La cirugía del cáncer de mama generalmente se realiza bajo anestesia general o, más recientemente, combinada con técnicas regionales convencionales. El bloqueo de los nervios pectorales (PEC) aparece como una alternativa analgésica en estos procedimientos, pero pocos estudios la denominan una técnica anestésica única1–3.

En este informe de caso, describimos a una paciente de 56 años de edad, con un índice de masa corporal de 31kg/m2, ASA IV, ingresada por tumorectomía electiva del cuadrante superior izquierdo de la mama y biopsia del ganglio centinela. Dadas las múltiples comorbilidades y el alto riesgo anestésico y quirúrgico, el plan anestésico consistió en bloqueo PEC II ecoguiado, como única técnica anestésica.

Los autores informan del manejo exitoso de la anestesia y el dolor sin complicaciones en la cirugía de mamas. El bloqueo de los PEC, como técnica anestésica única, puede ser seguro, ventajoso y efectivo, con estabilidad hemodinámica y pocos efectos secundarios en pacientes cardiacos de alto riesgo.

Palabras clave:
Nervios pectorales
Bloqueo PEC
Cirugía del cáncer de mama
Anestesia regional
Ecografía

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