• A&A practice · May 2021

    Case Reports

    Chest Wall Regional Anesthesia for Modified Radical Mastectomy and Axillary Lymph Node Dissection: A Case Report.

    • Pradipta Bhakta, Kevin Mac Sweeney, and Brian D O'Donnell.
    • From the Department of Anesthesia and Intensive Care, University Hospital Kerry, Kerry, Ireland.
    • A A Pract. 2021 May 27; 15 (6): e01482.

    AbstractRestrictive chest wall disorders impair cardiopulmonary physiology and pose anesthesia-related safety challenges. Regional anesthesia, as the primary anesthetic modality, may mitigate general anesthesia-related risks in such patients presenting for breast cancer surgery. We describe the use of chest wall fascial plane blocks as the primary anesthetic, combined with high-flow humidified nasal oxygen and low-dose propofol sedation, in a patient with complex comorbidities presenting for modified radical mastectomy and axillary lymph node dissection.Copyright © 2021 International Anesthesia Research Society.

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