title: Ultrasound guided continuous paravertebral block in a patient with coronary heart disease and sleep apnea syndrome.
abstract: The case of a 77-year-old patient with severe coronary heart disease who underwent radical mastectomy with axillary lymph node dissection by ultrasound-guided continuous paravertebral block (CPVB) is described in the present report. Radical mastectomy with axillary dissection is a surgical procedure that necessitates endotracheal intubation and is usually performed under general anesthesia, which carries heightened risk for patients with coronary heart disease (CHD) and sleep apnea syndrome (SAS). Ultrasound-guided CPVB is a simple and safe alternative technique that allows for the use of anesthesia and postoperative analgesia with minimal side effects.
authors.affiliation: Department of Anesthesiology and Reanimation, Baskent University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Bilgiser
authors.initials: B
authors.lastname: Esen
authors.affiliation: Department of General Surgery, Baskent University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Hüseyin Yüce
authors.initials: HY
authors.lastname: Bircan
authors.affiliation: Department of Anesthesiology and Reanimation, Baskent University Faculty of Medicine, Istanbul, Turkey. drozlem79@gmail.com.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Çınar
authors.affiliation: Department of Anesthesiology and Reanimation, Baskent University Faculty of Medicine, Istanbul, Turkey.
authors.forename: Ayda
authors.initials: A
authors.lastname: Türköz
mesh_terms: D000368:Aged; D003324:Coronary Artery Disease; D005260:Female; D006801:Humans; D015409:Mastectomy, Radical; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control; D012891:Sleep Apnea Syndromes; D013577:Syndrome; D013904:Thoracic Vertebrae; D018084:Ultrasonography, Interventional