S-ICD implantation under the serratus plane block and transversus thoracis muscle plane block. A clinical case.
Rev Esp Anestesiol Reanim (Engl Ed)
; 69(2): 102-104, 2022 02.
Article
en En
| MEDLINE
| ID: mdl-35168918
ABSTRACT
INTRODUCTION:
The development of a subcutaneous implantable cardioverter-defibrillator (S-ICD) combined with the typical patient comorbidities creates new challenges for anaesthesia. CLINICAL CASE A young male, ASA II, was proposed for S-ICD placement, after recovery from a sudden CRP episode. We performed regional anaesthesia with a serratus plane block (SPB) and transversus thoracic muscle plane block (TTPB) with administration of Mepivacaine and Ropivacaine. S-ICD placement was achieved under regional anaesthesia. In the perioperative period, the patient remained hemodynamically stable, without any complications or pain.DISCUSSION:
The implantation of the ICD occurs in fragile patients, with high anaesthetic risk. In this case, the association of SPB and TTPB was an effective anaesthetic/analgesic approach, has advantages when compared with other techniques and has potential use in other procedures.Palabras clave
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MEDLINE
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Anestesia de Conducción
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En
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Año:
2022
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Article