PDF(Pubmed)
Abstract：
Awake breast surgeries under nerve blocks have been a challenge for anaesthesiologists, and different block combinations have been used for surgery under sedation. Thoracic paravertebral block (TPVB) was thought to be sufficient alone for surgical anaesthesia of the breast. We performed a combination of TPVB, pectoralis nerve I block, and serratus anterior plane block for awake breast surgery in an elderly patient with serious comorbidities. Surgical anaesthesia was achieved, excluding skin incision. Any regional anaesthesia technique alone is not sufficient; rather, multiple thoracic wall blocks are needed for surgical anaesthesia of the breast.
摘要：
神经阻滞下清醒的乳房手术对麻醉师来说是一个挑战，和不同的块组合已用于镇静下的手术。胸椎旁阻滞（TPVB）被认为仅用于乳房的手术麻醉就足够了。我们进行了TPVB的组合，胸肌神经I阻滞,和前锯肌平面阻滞用于患有严重合并症的老年患者的清醒乳房手术。手术麻醉得以实现，不包括皮肤切口。任何区域麻醉技术都是不够的；相反，乳房的手术麻醉需要多个胸壁块。
