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THE ASSOCIATION BETWEEN ULTRASOUND-GUIDED PECS II BLOCK AND PARASTERNAL BLOCK COULD REPRESENT A VALID ALTERNATIVE TO CONVENTIONAL ANESTHETIC PROCEDURES: A PARTICULAR CASE REPORT
ESRA Academy. Fusco P. Sep 8, 2016; 138260; 0081 Topic: REGIONAL ANAESTHESIA (RA) IN SPECIFIC SUBPOPULATIONS
Dr. Pierfrancesco Fusco
Dr. Pierfrancesco Fusco

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Abstract
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Background and Aims:

Giant axonal neuropathy (GAN, OMIM #256850) is a rare pediatric neurodegenerative disease

Methods:

In our University Hospital of L’Aquila (Italy), the association between Pecs II block and Parasternal block (PB) was performed in a 22-year-old woman suffered for GAN (ASA III), who underwent to radical mastectomy and axillary dissection. Motor abilities were absent and she had a severe kyphoscoliosis left convex with hump. Written informed consent and the consent for her case to be published were obtained.

Pecs II block associated to Pecs I block and PB, was performed under ultrasound guidance. 

Results:

A complete loss of cold and touch sensation was observed for the T2 to T6 dermatomes, and the surgery was performed without needing of general anesthesia or supplementary opiates. The patient was in spontaneous breathing and no drugs were used for maintaining the hemodynamic stability. The patient and surgeons did not report discomfort. No postoperative complications were recorded.

Conclusions:

We believe that the association of these two anesthetic techniques could ensure a good quality of anesthesia of the surgical area and an extended postoperative analgesia, especially in this kind of patient in which in it is important to avoid the potentially fatal arrhythmias and exacerbation of motor weakness, caused by neuromuscular blockers.

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