Ultrasound to the Rescue: Axillary Clearance under Complete Regional Blockade | Zendy

B. M. Munasinghe | Zendy; Nishanthan Subramaniam | Zendy; Nimalan Srisothinathan | Zendy; P. Sivamayuran | Zendy

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Ultrasound to the Rescue: Axillary Clearance under Complete Regional Blockade

Author(s) -

B. M. Munasinghe,

Nishanthan Subramaniam,

Nimalan Srisothinathan,

P. Sivamayuran

Publication year - 2021

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2021/6655930

Subject(s) - medicine , blockade , regional anaesthesia , general anaesthesia , anesthesia , mastectomy , ultrasound , surgery , breast cancer , radiology , receptor , cancer

No single regional anaesthetic technique is capable of complete anaesthesia of the axillary region. Regional or interfascial nerve blockade could be an effective alternative where administering general anaesthesia is not feasible, with superior analgesia, favourable haemodynamics, and reduced opiate related adverse effects. Ultrasound guidance improves effectiveness and safety profile. We report a case of a successful axillary clearance conducted under combined regional blocks for an axillary nodal recurrence following mastectomy for a breast carcinoma, in a patient who was not fit for general anaesthesia due to a persistent lobar pneumonia and recurrent asthma exacerbations. Our experience and current evidence supersede the initial conceptions of difficult ultrasonic intercostobrachial nerve (ICBN) visualization.

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