Yıl: 2013 Cilt: 14 Sayı: 3 Sayfa Aralığı: 150 - 153 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report

Öz:
Paravertebral teknikler primer santral nöroaksiyel tekniklere göre kateter uygulamaların daha güvenli olduğu bilinmesine rağmen intranöral ve spinal kord enjeksiyonları, lokal anestezik toksisitesi ve lokal anesteziklerin epidural yayılımı gibi komplikasyonları içeren son derece nadir anektodal raporlar vardır. Biz de torakal epidural blok altında axiller diseksiyonlu modifiye radikal mastektomi uygulanan bir hastada epidural yayılım sonucu gelişen bilateral epidural blok olgusunu sunduk.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Meme kanser cerrahisinde torakal paravertebral blok sonrasi gelişen epidural yayilim: Olgu sunumu

Öz:
The aim of this study was to determine that very rare anecdotal reports such as intra-neuronal and spinal cord injections, local anesthetic toxicity, and epidural spread of local anesthetic despite it is known that continuous catheter implementation is safer than paravertebral techniques, primary central neuraxial techniques. We presented a bilateral epidural block case developed due to epidural spread in a patient performed modified radical mastectomy with axillary dissection under thoracic epidural block.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Cheema SP, Ilsley D, Richardson J, Sabanathan S. A thermographic study of paravertebral analgesia. Anaesthesia 1995;50(2):118-21.
  • 2. Yeğin A, Erdoğan A, Hadimoğlu N. Postoperative analgesia for thoracic surgery. Turkish J Thorac Cardiovasc Surg 2005;13(4):418-25.
  • 3. Park S, Kim Y, Han K, Lee S, Youn A, Yoon S. Thoracic paravertebral block for breast surgery in a pregnant woman. Korean J Anesthesiol 2010;59(Suppl):73-6.
  • 4. Akçaboy EY, Akçaboy ZN, Sönmez B, Göğüş N. Thoracic paravertebral block performance for modified radical mastectomy with axillary dissection in a patient with severe chronic obstructive pulmonary disease. Agri 2011;23(1):40- 2.
  • 5. Wang LP, Hauerberg J, Schmidt JF. Incidence of spinal epidu- ral abscess after epidural analgesia: a national 1-year survey. Anesthesiology 1999;91(6):1928-36.
  • 6. Davies RG, Myles PS, Graham JM. A comparison of the an- algesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy--a systematic review and meta- analysis of randomized trials. Br J Anaesth 2006;96(4):418-26.
  • 7. Karmakar MK. Thoracic paravertebral Anesthesiology 2001;95(3):771–80.
  • 8. Exadaktylos AK, Buggy DJ, Moriarty DC, Mascha E, Sessler DI. Can anesthetic technique for primary breast cancer surgery affect recurrence or metastasis? Anesthesiology 2006;105(4):660–4.
  • 9. Greengrass RA, Duclas R Jr. Paravertebral blocks. Int Anesthesiol Clin 2012;50(1):56-73.
  • 10. Conacher ID, Kokri M. Postoperative paravertebral blocks for thoracic surgery: a radiological appraisal. Br J Anaesth 1987;59(2):155–61.
  • 11. Richardson J, Jones J, Atkinson R. The effect of thoracic paravertebral blockade on intercostal somatosensory evoked potentials. Anesth Analg 1998;87(2):373-6.
  • 12. Naja MZ, Ziade MF, Lönnqvist PA. Nerve-stimulator guided paravertebral blockade vs. general anaesthesia for breast surgery: a prospective randomized trial. Eur J Anaesthesiol 2003;20(11):897-903.
  • 13. Tighe SQM, Greene MD, Rajadurai N. Paravertebral block. Contin Educ Anaesth Crit Care Pain 2010;10(5):133-7.
APA BEYAZ S, ERGÖNENÇ T, ALTINTOPRAK F (2013). Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. , 150 - 153.
Chicago BEYAZ Serbülent Gökhan,ERGÖNENÇ Tolga,ALTINTOPRAK Fatih Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. (2013): 150 - 153.
MLA BEYAZ Serbülent Gökhan,ERGÖNENÇ Tolga,ALTINTOPRAK Fatih Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. , 2013, ss.150 - 153.
AMA BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. . 2013; 150 - 153.
Vancouver BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. . 2013; 150 - 153.
IEEE BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F "Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report." , ss.150 - 153, 2013.
ISNAD BEYAZ, Serbülent Gökhan vd. "Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report". (2013), 150-153.
APA BEYAZ S, ERGÖNENÇ T, ALTINTOPRAK F (2013). Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, 14(3), 150 - 153.
Chicago BEYAZ Serbülent Gökhan,ERGÖNENÇ Tolga,ALTINTOPRAK Fatih Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi 14, no.3 (2013): 150 - 153.
MLA BEYAZ Serbülent Gökhan,ERGÖNENÇ Tolga,ALTINTOPRAK Fatih Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, vol.14, no.3, 2013, ss.150 - 153.
AMA BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi. 2013; 14(3): 150 - 153.
Vancouver BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report. Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi. 2013; 14(3): 150 - 153.
IEEE BEYAZ S,ERGÖNENÇ T,ALTINTOPRAK F "Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report." Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi, 14, ss.150 - 153, 2013.
ISNAD BEYAZ, Serbülent Gökhan vd. "Epidural spread developed after thoracic paravertebral block in breast cancer surgery: A case report". Afyon Kocatepe Üniversitesi Kocatepe Tıp Dergisi 14/3 (2013), 150-153.