Key result
Thoracic paravertebral block maintains stable hemodynamics and adequate perioperative analgesia in 3 patients with HCM.
Why the study?
Sympathetic stimulation during general anesthesia in HOCM patients poses a risk of sudden intraoperative death, necessitating alternative anesthetic approaches for safer perioperative outcomes.
Comparison
Thoracic paravertebral block as alternative to general anesthesia
Design
Case series study
Authors
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Thoracic paravertebral block may be feasible in hypertrophic cardiomyopathy; this case series is hypothesis-generating and requires prospective validation.
Case Report (n=3)
Thoracic paravertebral block may serve as a safe alternative to general anesthesia in patients with hypertrophic cardiomyopathy undergoing breast surgery, potentially avoiding risky sympathetic stimulation.
Sharma et al. (2021) conducted a case report in Hypertrophic cardiomyopathy (HOCM) (n=3). Thoracic Paravertebral Block (PVB) was evaluated on Perioperative outcome (intraoperative conditions, postoperative analgesia, hemodynamic alterations). Thoracic paravertebral block provided excellent intraoperative conditions, adequate postoperative analgesia, and negligible hemodynamic alterations in three patients with hypertrophic cardiomyopathy.
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