Muhammed Enes AYDIN, Ali AHISKALIOĞLU, Yunus Emre KARAPINAR, Ela Nur MEDETOĞLU, Miraç Selcen ÖZKAL

COVID Sonrası Bir Hastada Uyanık Sternum Revizyonu için Ultrason EşliğindeTransvers Torasik Kası Plan Bloğu

Sternotomi ile gerçekleştirilen kardiyak cerrahiler sonrasında hem yara iyileşmesini hızlandırmak hem de postoperatif analjezinin efektif sağlanarak akciğer fonskiyonlarının erken geri döndürülmesi için nöroaksiyel teknikler, fasyal plan blokları ve intravenöz analjezikler sıkça kullanılmaktadır. Bu olgu sunumumuzda koroner arter by-pass greft (KABG) cerrahisi sonrasında sternum revizyonu gereken ancak cerrahi sonrasında COVID-19 pnömonisine bağlı akciğer kapasitesi kısıtlı olan ASA III bir hastada genel anestezinin yüksek riskli olacağı düşünerek, sedasyon ve transvers torasik kas plan bloğu (TTMPB) eşliğinde gerçekleştirilen sternum revizyonu olgusunu paylaşmaktayız.

Ultrasound-Guided Transverse Thoracic Muscle Plane Block for Awake Sternum Revision in a Post-COVID Patient

After cardiac surgeries performed with sternotomy, neuraxial techniques, fascial plane blocks and intravenous analgesics are often used for both accelerating wound healing and early recovery of lung functions by providing effective postoperative analgesia. In this case report, we share a case of sternal revision performed with sedation and transversus thoracic muscle plane block (TTMPB) in an ASA III patient who required sternum revision after coronary artery bypass graft (CABG) surgery but had limited lung capacity due to previous COVID-19 pneumonia, considering that general anesthesia would be high-risk.

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