We report a case of a 74 years-old-woman scheduled for breast quadrantectomy and axillary dissection who developed high subdural block and hemodynamic instability after a nerve stimulator guided thoracic paravertebral blocks (TPVBs). We supported vital functions until, after 170 minutes from TPVBs, the patient fully recovered. Even if TPVB is described as a procedure at low-risk, as an excellent procedure for postoperative pain control and as a valid alternative to general anesthesia for breast surgery, complications may be life-threatening. We hypothesize that ultrasound can make the safest technique.
Inadvertent high central neuraxial block and possible total spinal anaesthesia occurring after nerve stimulation guided thoracic paravertebral block / F. Piccioni, J. Colombo, L. Fumagalli, S. Lassola, P. Previtali, M. Ammatuna, M. Langer. - In: ANAESTHESIA AND INTENSIVE CARE. - ISSN 0310-057X. - 42:2(2014 Mar), pp. 270-271.
Inadvertent high central neuraxial block and possible total spinal anaesthesia occurring after nerve stimulation guided thoracic paravertebral block
J. Colombo;S. Lassola;M. Langer
2014
Abstract
We report a case of a 74 years-old-woman scheduled for breast quadrantectomy and axillary dissection who developed high subdural block and hemodynamic instability after a nerve stimulator guided thoracic paravertebral blocks (TPVBs). We supported vital functions until, after 170 minutes from TPVBs, the patient fully recovered. Even if TPVB is described as a procedure at low-risk, as an excellent procedure for postoperative pain control and as a valid alternative to general anesthesia for breast surgery, complications may be life-threatening. We hypothesize that ultrasound can make the safest technique.Pubblicazioni consigliate
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