Bilgiser ESEN, Hüseyin Yüce BİRCAN, Ozlem CINAR, Ayda TÜRKÖZ

Koroner arter hastalığı ve uyku apne sendromu olan bir hastada ultrason eşliğinde sürekli paravertebral blok

Bu olguda, 77 yaşında ciddi koroner arter hastalığı öyküsü olan, ultrason eşliğinde sürekli paravertebral blok tekniğiyle radikal mastektomi ve aksiller lenf nodu diseksiyonu uygulanan bir hasta sunuldu. Genellikle aksiller diseksiyon ve radikal mastektomi genel anestezi altında uygulanan bir cerrahi prosedür olup endotrakeal entübasyon gerektirir. Koroner arter hastalığı ve uyku apne sendromu olan hastalarda genel anestezi yüksek risklidir. Ultrason eşliğinde sürekli paravertebral blok tekniği basit ve güvenli bir anestezi alternatifi olduğu kadar minimal yan etkiyle ameliyat sonrası analjezi de sağlamaktadır.

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

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.

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