Buscar en
Revista Española de Anestesiología y Reanimación (English Edition)
Toda la web
Inicio Revista Española de Anestesiología y Reanimación (English Edition) S-ICD implantation under the serratus plane block and transversus thoracis muscl...
Journal Information
Vol. 69. Issue 2.
Pages 102-104 (February 2022)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 69. Issue 2.
Pages 102-104 (February 2022)
Case report
S-ICD implantation under the serratus plane block and transversus thoracis muscle plane block. A clinical case
Implantación subcutánea de DCI-S mediante bloqueos del plano del músculo serrato y del músculo torácico transverso. Caso clínico
Visits
...
D. Roriz
Corresponding author
roriz.diana@gmail.com

Corresponding author.
, J. Brandão, R. Graça, S. Caramelo, C. Correia, R. Abrunhosa
Department of Anesthesiology and Pain Therapy, Centro Hospitalar de trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
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.

Keywords:
Regional anesthesia
Peripheral nerve block
Chest wall anesthesia
Resumen
Introducción

El desarrollo de un desfibrilador-cardioversor implantable subcutáneo (DCI-S), combinado con las comorbilidades normales del paciente, crea nuevos retos en anestesia.

Caso clínico

Varón joven, ASA II, propuesto para implantación de DCI-S, tras recuperarse de un episodio de parada cardiaca súbita. Realizamos anestesia regional con bloqueo en el plano del músculo serrato (SPB) y bloqueo del plano del músculo torácico transverso (TTPB) con administración de Mepivacaína y Ropivacaína. La implantación de DCI-S se logró bajo anestesia regional. En el periodo perioperatorio el paciente permaneció hemodinámicamente estable, sin complicaciones ni dolor.

Discusión

La implantación de DCI se produce en pacientes frágiles, con alto riesgo anestésico. En este caso, la asociación de SPB y TTPB fue una técnica anestésica/analgésica efectiva, con ventajas en comparación con otras técnicas, y uso potencial en otros procedimientos.

Palabras clave:
Anestesia regional
Bloqueo del nervio periférico
Anestesia de la pared torácica

Article

These are the options to access the full texts of the publication Revista Española de Anestesiología y Reanimación (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Española de Anestesiología y Reanimación (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos