hrcak mascot   Srce   HID

Kratko priopćenje

The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report

MIROSLAV ŽUPČIĆ   ORCID icon orcid.org/0000-0002-1989-7255 ; Clinic of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia
SANDRA GRAF ŽUPČIĆ ; Clinic of Neurology, University Hospital “Sv. Duh”, Zagreb, Croatia
ANA BRUNDULA ; Clinic of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia
IVA KOREČIĆ ZRINJŠČAK ; Clinic of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia
JASMINKA PERŠEC   ORCID icon orcid.org/0000-0002-3777-8153 ; Clinic of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia
INO HUSEDŽINOVIĆ1 ; Clinic of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb, Croatia

Puni tekst: engleski, pdf (1 MB) str. 307-309 preuzimanja: 326* citiraj
APA 6th Edition
ŽUPČIĆ, M., GRAF ŽUPČIĆ, S., BRUNDULA, A., ZRINJŠČAK, I.K., PERŠEC, J. i HUSEDŽINOVIĆ1, I. (2015). The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report. Periodicum biologorum, 117 (2), 307-309. Preuzeto s https://hrcak.srce.hr/143070
MLA 8th Edition
ŽUPČIĆ, MIROSLAV, et al. "The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report." Periodicum biologorum, vol. 117, br. 2, 2015, str. 307-309. https://hrcak.srce.hr/143070. Citirano 16.11.2019.
Chicago 17th Edition
ŽUPČIĆ, MIROSLAV, SANDRA GRAF ŽUPČIĆ, ANA BRUNDULA, IVA KOREČIĆ ZRINJŠČAK, JASMINKA PERŠEC i INO HUSEDŽINOVIĆ1. "The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report." Periodicum biologorum 117, br. 2 (2015): 307-309. https://hrcak.srce.hr/143070
Harvard
ŽUPČIĆ, M., et al. (2015). 'The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report', Periodicum biologorum, 117(2), str. 307-309. Preuzeto s: https://hrcak.srce.hr/143070 (Datum pristupa: 16.11.2019.)
Vancouver
ŽUPČIĆ M, GRAF ŽUPČIĆ S, BRUNDULA A, ZRINJŠČAK IK, PERŠEC J, HUSEDŽINOVIĆ1 I. The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report. Periodicum biologorum [Internet]. 2015 [pristupljeno 16.11.2019.];117(2):307-309. Dostupno na: https://hrcak.srce.hr/143070
IEEE
M. ŽUPČIĆ, S. GRAF ŽUPČIĆ, A. BRUNDULA, I.K. ZRINJŠČAK, J. PERŠEC i I. HUSEDŽINOVIĆ1, "The application of paravertebral block in high-risk patient with cardiorespiratory, liver and kidney problems: a case report", Periodicum biologorum, vol.117, br. 2, str. 307-309, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/143070. [Citirano: 16.11.2019.]

Sažetak
Background and Purpose: We present a case report of a patient of the
American Society of Anesthesiologists’ (ASA) IV scheduled for a modified
radical mastectomy (MRM) due to malignant disease. The patient was a
high risk patient for general anesthesia and we opted for the application of
unilateral paravertebral block on several levels. Case report. A 86-year-old
female was scheduled for a surgery due to recurrent malignant process on
her right breast. She was an ASA IV patient with chronic obstructive pulmonary disease (COPD GOLD A), respiratory failure, diabetes mellitus,
diabetic nephropathy, cirrhosis and chronic laryngitis. Echocardiography
showed diastolic dysfunction and pulmonary hypertension of moderate degree. During the preparation for the surgery, an invasive blood pressure
measurement was set while the paravertebral space was identified with the
neurostimulator using the linear ultrasound probe of 8 Hertz (Hz). The
anesthetic [0.5% Levobupivacaine (Chirocaine®, Abbott Laboratories)] was applied in levels of Thoracic (Th) 2, Th3, Th4 and Th5 (5 milliliters(ml.)
per level). We used 2% lidocaine [Lidocaine®, FC] for local infiltration at
the site of the block.

Results: Sensory blockade occurred after 32 minutes (min.) and lasted
for about 8 hours (h) with normal perioperative period and hemodynamic
parameters without accompanying complications.

Discussion and Conclusion: This case report shows that the application
of paravertebral block with lower doses of long-acting local anesthetic
at several levels leads to a satisfactory anesthetic and analgesic effect while maintaining hemodynamic stability.

Hrčak ID: 143070

URI
https://hrcak.srce.hr/143070

Posjeta: 474 *