Your browser doesn't support javascript.
loading
Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series / Bloqueio do plano eretor da espinha guiado por ultrassom para analgesia pós-operatória em mamoplastia de aumento: série de casos
Altıparmak, Başak; Korkmaz Toker, Melike; Uysal, Ali İhsan; Gümüş Demirbilek, Semra.
  • Altıparmak, Başak; Muğla Sıtkı Koçman University. Department of Anesthesiology and Reanimation. Muğla. TR
  • Korkmaz Toker, Melike; Muğla Sıtkı Koçman University. Training and Research Hospital. Department of Anesthesiology and Reanimation. Muğla. TR
  • Uysal, Ali İhsan; Muğla Sıtkı Koçman University. Training and Research Hospital. Department of Anesthesiology and Reanimation. Muğla. TR
  • Gümüş Demirbilek, Semra; Muğla Sıtkı Koçman University. Department of Anesthesiology and Reanimation. Muğla. TR
Rev. bras. anestesiol ; 69(3): 307-310, May-June 2019. graf
Article in English | LILACS | ID: biblio-1013412
ABSTRACT
Abstract Augmentation mammoplasty is the third most frequently performed esthetic surgical procedure worldwide. Breast augmentation with prosthetic implants requires the insertion of an implant under breast tissue, which causes severe pain due to tissue extension and surgical trauma to separated tissues. In this case series, we present the successful pain management of six patients with ultrasound-guided Erector Spinae Plane block after augmentation mammoplasty. In the operating room, all patients received standard monitoring. While the patients were sitting, the anesthesiologist performed bilateral ultrasound-guided erector spinae plane block at the level of T5. Bupivacaine (0.25%, 20 mL) was injected deep to the erector spinae muscle. Then, induction of anesthesia was performed with propofol, fentanyl, and rocuronium bromide. All patients received intravenous dexketoprofen trometamol for analgesia. The mean operation time was 72.5±6 min and none of the patients received additional fentanyl. The mean pain scores of the patients were 1, 2, 2, and 2 at the postoperative 5th, 30th, 60th and 120th minutes, respectively. At the postoperative 24th hour, the mean Numerical Rating Scale score was 1. The mean intravenous tramadol consumption was 70.8±15.3 mg in the first 24 h. None of the patients had any complications related to erector spinae plane block.
RESUMO
Resumo A mamoplastia de aumento é o terceiro procedimento cirúrgico estético mais feito em todo o mundo. A cirurgia com implantes protéticos requer a inserção de um implante sob o tecido mamário, o que causa dor intensa devido à extensão do tecido e trauma cirúrgico aos tecidos separados. Nesta série de casos, apresentamos o manejo bem-sucedido da dor em seis pacientes com bloqueio do plano eretor da espinha guiado por ultrassom (US-ESP) após mamoplastia de aumento. Na sala de cirurgia, todas as pacientes receberam monitoramento padrão. Enquanto as pacientes estavam sentadas, o anestesiologista fez o bloqueio US-ESP bilateral no nível de T5. Bupivacaína (0,25%, 20 mL) foi injetada entre os músculos romboide maior e eretor da espinha. Em seguida, a indução anestésica foi feita com propofol, fentanil e rocurônio. Todas as pacientes receberam dexcetoprofeno trometamol por via venosa para analgesia. O tempo médio de operação foi de 72,5 ± 6 minutos e nenhuma das pacientes recebeu fentanil adicional. Os escores médios de dor das pacientes foram 1, 2, 2 e 2 no 5°, 30°, 60° e 120° minutos de pós-operatório, respectivamente. No 24° dia de pós-operatório, o escore médio da Escala de Avaliação Numérica (NRS) foi 1. O consumo médio de tramadol foi de 40 ± 33,4 mg nas primeiras 24 horas. Nenhuma das pacientes apresentou complicações relacionadas ao bloqueio US-ESP.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pain, Postoperative / Breast Implantation / Nerve Block Limits: Adult / Female / Humans Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2019 Type: Article Affiliation country: Turkey Institution/Affiliation country: Muğla Sıtkı Koçman University/TR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Pain, Postoperative / Breast Implantation / Nerve Block Limits: Adult / Female / Humans Language: English Journal: Rev. bras. anestesiol Journal subject: Anesthesiology Year: 2019 Type: Article Affiliation country: Turkey Institution/Affiliation country: Muğla Sıtkı Koçman University/TR