The Use of Single-Injection Thoracic Paravertebral Block in Breast Cancer Surgeries in Our Asian Population: The Singapore General Hospital Experience:

Proceedings of Singapore Healthcare

Darren Koh LiangKhai¹ 

关键词: Anaesthesia;    Paravertebral;    Regional;    Local;    Anaesthetic;    Ropivacaine;    Breast cancer;   

DOI  :  10.1177/201010581302200205

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:This series of cases describe the experience of using the single-injection thoracic paravertebral block of ropivacaine 1% to provide analgesia in breast cancer surgery in Asian patients within the Singapore General Hospital.Cases:Over these eight years, we documented 32 cases scheduled for elective breast cancer surgery with axillary dissection. These patients received 20 ml ropivacaine 1% with adrenaline (5 ug/ml) injected into the paravertebral space prior to surgery. All patients received a standardised regime of general anaesthesia, using fentanyl (if intra-operative supplemental analgesia was required). Patient-controlled analgesia (PCA) of morphine was used for post-operative analgesia. Assessments included peri-operative analgesic requirement, pain score, and shoulder movement limitation, incidence of nausea or vomiting, and adverse effects of the block.Observations:Parathesia using the loss of pinprick sensation was elicited in all patients after the institution of the block. A median o...

【 授权许可】

CC BY