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Vol. 66. Issue 1.
Pages 46-48 (January 2019)
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Vol. 66. Issue 1.
Pages 46-48 (January 2019)
Case report
Case report: Serratus intercostal plane block/BRILMA and sedation for mastectomy in a high risk patient
Caso clínico: bloqueo serrato intercostal/BRILMA y sedación en mastectomía en paciente de riesgo
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R. Sanllorente-Sebastiána,
Corresponding author
bibliotecas2010@gmail.com

Corresponding author.
, J.M. de Vicente-Lorenzoa, F.J. Mediavilla-Herreraa, S. Gutiérrez-Garcíab, I.S. Alario-Pozab, Z. Bustinza-Beaskoetxeab
a Departamento de Anestesia y Reanimación, Hospital Universitario de Burgos, Burgos, Spain
b Departamento de Obstetricia y Ginecología, Hospital Universitario de Burgos, Burgos, Spain
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Abstract

Breast cancer surgery can benefit from regional anaesthesia techniques, which can be used as a sole anaesthetic procedure in some cases where risk for general anaesthesia is high. Regional anaesthesia allows early recovery, reduces postoperative opioid and non opioid analgesics consumption and helps early home discharge, reducing thus costs. We present a case of an 87-year-old woman with multiple comorbidities who underwent breast cancer surgery. The patient was successfully surgically treated under serratus intercostal plane block anaesthesia. We discuss the use and benefits of the serratus intercostal plane block in thoracic procedures.

Keywords:
Serratus intercostal
Block
Breast
Cancer
High risk
Comorbidities
Sedation
Resumen

La cirugía del cáncer de mama puede beneficiarse de las técnicas de anestesia regional que pueden usarse como técnicas anestésicas únicas en algunos casos en los que el riesgo de la anestesia general para el paciente es alto. La anestesia regional permite una rápida recuperación, reduce el consumo de analgésicos opioides y no opioides postoperatorios ayudando al alta temprana, reduciendo costes. Presentamos el caso de una mujer de 87 años con múltiples comorbilidades que fue intervenida de cirugía de cáncer mamario. La paciente fue operada satisfactoriamente bajo anestesia mediante bloqueo serrato intercostal. Se discute el empleo y los beneficios de este bloqueo en procedimientos torácicos.

Palabras clave:
Serrato intercostal
Bloqueo
Mama
Cáncer
Alto riesgo
Comorbilidades
Sedación

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