Department of Anesthesiology and Pain Therapy, Centro Hospitalar de trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal.
Department of Anesthesiology and Pain Therapy, Centro Hospitalar de trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal.
Rev Esp Anestesiol Reanim (Engl Ed). 2022 Feb;69(2):102-104. doi: 10.1016/j.redare.2020.11.013. Epub 2022 Feb 12.
The development of a subcutaneous implantable cardioverter-defibrillator (S-ICD) combined with the typical patient comorbidities creates new challenges for anaesthesia.
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.
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.
皮下植入式心律转复除颤器（S-ICD）的发展结合了典型的患者合并症，为麻醉带来了新的挑战。
一名年轻男性，ASA II 级，在从 CRP 发作中恢复后，被提议植入 S-ICD。我们使用肋间肌平面阻滞（SPB）和胸横肌平面阻滞（TTPB）进行区域麻醉，给予甲哌卡因和罗哌卡因。S-ICD 的植入是在区域麻醉下完成的。在围手术期，患者血流动力学稳定，无任何并发症或疼痛。
ICD 的植入发生在脆弱的患者中，具有较高的麻醉风险。在这种情况下，SPB 和 TTPB 的联合是一种有效的麻醉/镇痛方法，与其他技术相比具有优势，并且可能在其他手术中使用。
