Key result
Thoracic paravertebral block safely maintains hemodynamics and analgesia in 3 HCM patients undergoing breast surgery.
Why the study?
Sympathetic stimulation during general anaesthesia in HOCM patients poses a risk of sudden intraoperative death, necessitating alternative anaesthetic approaches.
Does thoracic paravertebral block provide safe and effective anaesthesia in patients with hypertrophic cardiomyopathy undergoing breast surgery?
Case Report (n=3)
Does thoracic paravertebral block provide safe and effective anaesthesia in patients with hypertrophic cardiomyopathy undergoing breast surgery?
Thoracic paravertebral block appears to be a safe and effective alternative to general anesthesia for patients with hypertrophic cardiomyopathy undergoing breast surgery, avoiding the risks of sympathetic stimulation.
May support thoracic paravertebral block in select hypertrophic cardiomyopathy cases; hypothesis-generating and requires prospective validation.
Introduction: Sympathetic stimulation during general anaesthesia (GA) in hypertrophic cardiomyopathy (HOCM) patients poses the risk of sudden intraoperative death. Regional anaesthesia using paravertebral block (PVB) provides an excellent alternative to GA in HOCM patients undergoing carcinoma breast surgery. Case Report: We hereby describe the perioperative management of three patients of HOCM, with PVB as the preferred anaesthetic modality. Conclusion: Thoracic PVB is a safe and efficacious technique which provides good intra-operative haemodynamic stability and a superior postoperative analgesia for breast surgery in HOCM patients.
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Singh et al. (2021) conducted a case report in Hypertrophic cardiomyopathy (HOCM) undergoing carcinoma breast surgery (n=3). Thoracic paravertebral block (PVB) was evaluated on Intra-operative haemodynamic stability and postoperative analgesia. Thoracic paravertebral block provided safe and efficacious intra-operative haemodynamic stability and postoperative analgesia in three patients with hypertrophic cardiomyopathy undergoing breast surgery.
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