மயக்க மருந்து & மருத்துவ ஆராய்ச்சி
திறந்த அணுகல்

சுருக்கம்

Cervical Epidural Anesthesia as a Sole Technique in Breast Cancer with Multiple Comorbidities

Anuradha Patel

Malti Devi, 62 years female, case of breast cancer was posted for right sided Modified radical mastectomy (MRM).  She was diabetic with chronic kidney disease (CKD) stage 3. CEA (Cervical epidural anaesthesia) was planned at C7-T1 midline space. Loss was resistance was achieved at 4.5 cm and the catheter was fixed at 12 cm. 10 ml of 0.375% ropivacaine was given through the catheter. After 10 minutes, further 5 ml of 0.375% of ropivacaine was given. For sedation, 50 mcg of fentanyl and 1 mg midazolam were administered. Sensory block was achieved from C7-T6. Surgery was conducted smoothly under CEA with good analgesia.  She was administered 1 mg of epidural morphine for postoperative analgesia. Her average NRS was 3/10.  Her satisfaction score was 80%. CEA provides stable cardiorespiratory status and thus, it can be used as a sole anaesthetic technique in patients with CKD and ASA 3 or 4 Patients.