[Bilateral paravertebral block anesthesia for thymectomy by video-assisted thoracoscopy in patients with myasthenia gravis]. / Timectomía por videotoracoscopia asistida con bloqueo anestésico paravertebral bilateral en pacientes miasténicos.
Rev Esp Anestesiol Reanim
; 53(9): 571-4, 2006 Nov.
Article
em Es
| MEDLINE
| ID: mdl-17297834
ABSTRACT
Thymectomy continues to be the treatment of choice for certain patients with myasthenia gravis. As surgical techniques have developed, anesthesiologists have considered the need to adapt anesthetic techniques to improve care of patients undergoing this procedure. We describe the anesthetic management of 2 patients undergoing thymectomy performed with a bilateral thoracoscopic approach. Because it is best to avoid the use of opiates during and after surgery, we performed a bilateral paravertebral thoracic block, inserting the catheters into the paravertebral space on each side to infuse local anesthetics on either side as needed as the operation progressed. Surgery was completed without adverse events and tubes were removed from the tracheas of both patients at the end of the procedures. Bilateral continuous infusion of local anesthetics provided satisfactory analgesia on the following days.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Timectomia
/
Timoma
/
Neoplasias do Timo
/
Cirurgia Torácica Vídeoassistida
/
Anestésicos Locais
/
Miastenia Gravis
/
Bloqueio Nervoso
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Ano de publicação:
2006
Tipo de documento:
Article