Helmich E J, Van Den Broek R J, Bloemen J G
Department of Anaesthesiology and Pain Medicine Catharina Hospital Eindhoven The Netherlands.
Department of Surgery Catharina Hospital Eindhoven The Netherlands.
Anaesth Rep. 2021 Feb 2;9(1):e12097. doi: 10.1002/anr3.12097. eCollection 2021 Jan-Jun.
The pectoral nerves 2 (pecs 2) block is widely used as adjunct to general anaesthesia for breast surgery. There are a few case reports and a single case series that describe regional anaesthesia as a single technique or supplemented by light to moderate sedation. Here we describe the management of a 91-year-old ASA physical status 4 patient who presented with a T4 breast malignancy. She was considered unfit for general anaesthesia due to significant valvular heart disease. A wide local excision was successfully performed under a pecs 2 block and a transverse thoracis plane block, supplemented with light sedation. We consider this technique to be a good option for selected patients who are considered unfit for general anaesthesia.
胸神经2（pecs 2）阻滞作为乳房手术全身麻醉的辅助手段被广泛应用。有一些病例报告和一个单病例系列描述了将区域麻醉作为单一技术或辅以轻度至中度镇静。在此，我们描述了一名91岁、美国麻醉医师协会（ASA）身体状况分级为4级的患者的治疗情况，该患者患有T4期乳腺恶性肿瘤。由于严重的瓣膜性心脏病，她被认为不适合全身麻醉。在pecs 2阻滞和横向胸廓平面阻滞并辅以轻度镇静的情况下，成功实施了广泛局部切除术。我们认为该技术对于那些被认为不适合全身麻醉的特定患者是一个不错的选择。
