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Combined transverse thoracis plane and pectoral nerve blocks for breast surgery under sedation
Author(s) -
Helmich E. J.,
Van Den Broek R. J.,
Bloemen J. G.
Publication year - 2021
Publication title -
anaesthesia reports
Language(s) - English
Resource type - Journals
ISSN - 2637-3726
DOI - 10.1002/anr3.12097
Subject(s) - sedation , medicine , general anaesthesia , anesthesia , surgery , malignancy , nerve block
Summary 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.