Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery
المؤلفون المشاركون
Pöpping, Daniel Matthias
Massoth, Christina
Möllmann, Michael
Wenk, Manuel
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-07-18
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Effects of perioperative cervical level neuraxial blocks on the dissemination of cancer metastases have become a matter of substantial interest.
However, experience with these catheters has been limited and data on feasibility and efficacy is sparse.
Methods.
Data from 39 patients scheduled to undergo breast cancer surgery while awake with a cervical epidural alone was retrospectively analyzed.
Results.
In 26 patients (66,7%, 95% CI 51,7–81,7) the cervical epidural catheter was sufficient for surgery.
In one patient (2.6%, 95% CI 0–7.6) identification of the epidural space was not possible.
Four patients (10.3%, 95% CI 0,7–19,9) had an insufficient sensory block.
Seven patients (17.9%, 95% CI 5,7–30,1) had a partially insufficient sensory block.
Rates of failed epidural blocks were not significantly different between different insertion levels.
21 patients (80.8%, 95% CI 65,4–96,1) developed hypotension and required an intravenous vasopressor.
One patient developed nausea.
In one patient the dura was accidentally punctured.
No neurological damage was observed.
No other major complications were observed.
Discussion.
Epidural punctures in the cervical region are feasible but do bear potential for major complications.
Anesthesiologists should familiarize themselves with high epidural block techniques.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wenk, Manuel& Massoth, Christina& Pöpping, Daniel Matthias& Möllmann, Michael. 2017. Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery. Anesthesiology Research and Practice،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1125514
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wenk, Manuel…[et al.]. Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery. Anesthesiology Research and Practice No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1125514
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wenk, Manuel& Massoth, Christina& Pöpping, Daniel Matthias& Möllmann, Michael. Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery. Anesthesiology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1125514
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1125514
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر