Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Department of Anesthesiology and Pain Medicine, Dokkyo Medical University, Tochigi, Japan
Research Article
Anesthetic Management Using Epidural Anesthesia Combined with UltrasoundGuided Serratus Plane Block for Breast Surgery of Two Patients with Severe Respiratory Disorder
Author(s): Kozue Eda, Nanako Ogura, Teppei Yamada, Koichi Fujii, Shigeki Yamaguchi and Shinsuke Hamaguchi*
Background: Regional anesthesia is recommended for the anesthetic management of patients with low respiratory
function undergoing mastectomy. We present two cases of breast surgery under thoracic epidural anesthesia in
combination with ultrasound-guided serratus plane block (SPB) and intravenous sedation. General anesthesia was
considered difficult to induce in these patients because of their underlying respiratory condition.
Case presentation: Patient 1 was a 40-year-oldfemalewho underwent a partial phyllodes tumor resection. She had
muscular dystrophy, diabetes mellitus, and allergic reaction to non-steroidal anti-inflammatory drugs and
acetaminophen. We combined epidural anesthesia with SPB and inhalation of nitrous oxide and 0.5%-1.0%
sevoflurane via a face mask under spontaneous breathing. Patient 2 was a 66-year-old wom.. View More»
DOI:
10.35248/2155-6148.20.11.944