SERBÜLENT GÖKHAN BEYAZ, Tolga ERGÖNENÇ, FATİH ALTINTOPRAK, Ali Fuat ERDEM

Thoracal paravertebral block for breast surgery

Torakal paravertebral blok (TPVB), dengeli hemodinamik yanıtla seyreden güvenli bir anestezi sağlaması, kateter aracılığıyla postoperatif ağrı kontrolüne imkân vermesi ve düşük yan etki profili nedeniyle genel anesteziye alternatif bir yöntemdir. Meme kanser cerahisi geçiren olgularda da aynı nedenle güvenle uygulanabilir bir yöntem olan TPVB çok az merkezde genel anestezi yerine uygulanmaktadır. Meme cerrahisi altında hastalar için yeterli bir anestezi sağlamasının yanında, unilateral somatik ve sempatik blokaj ile stabil bir hemodinamik denge, mükemmele yakın postoperatif ağrı kontrolü, minimal bulantı-kusma oranı, erken taburculuk ve düşük maliyet sağlar. Bu nedenle bazı merkezlerde meme cerrahileri için standart bir yöntem olan torakal paravertebral blok tüm anestezistler tarafından bilinmelidir. Torakal paravertebral bloğun genel anestezinin yerine uygulanacak bir yöntem olduğu kanaatindeyiz.

Meme cerrahisi için torakal paravertebral blok

Thoracic paravertebral block (TPVB) is an alternative method to general anesthesia because of provides a safe anesthesia with balanced hemodynamic response, allows postoperative pain control by means of catheter and has low side effect profile. TPVB performed safely for the patients undergoing breast cancer surgery with the samereason, has used in too few center instead of general anesthesia. This technique provides an adequate anesthe- sia for the patients undergoing breast surgery and in addition provides stable hemodynamic status with unilateral somatic and sympathetic blockade, near-perfect control of postoperative pain, minimal nausea and vomiting rate, early discharge and low cost. For this reason, thoracic paravertebral block which is a standard method in breast surgeries for some centers should be known by all anesthesiologists. We believe that, thoracic paravertebral block is a method can be applied instead of general anesthesia.

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