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Serratus anterior plane block combined with monitored anesthesia care for surgery of lateral side of breast -a case report-

대한마취과학회지 2019년 72권 5호 p.500 ~ 503
 ( Yoon Hyeong-Seok ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine

 ( Yu Byoung-Woo ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
 ( Kim Young-Mu ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
 ( Lee Jae-Ho ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine
 ( Koh Won-Uk ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
 ( Yang Hong-Seuk ) - Gangneung Asan Hospital Department of Anesthesiology and Pain Medicine

Abstract


Background: In breast surgery, regional anesthesia rather than primary anesthesia has been mainly used for postoperative analgesia. Serratus anterior plane block is a new method for ultrasound-guided thoracic wall block. It is less invasive and relatively safer than conventional regional anesthetic techniques.

Case: We report a case of breast surgery under serratus anterior plane block as primary anesthesia with monitored anesthesia for a 78-year-old patient with a medical history of cardiopulmonary resuscitation due to stress-induced cardiomyopathy caused by pneumonia.

Conclusions: Serratus anterior plane block might be simple and effective technique for breast surgery when a lesion is located on lateral side.

키워드

Breast surgery; Monitored anesthesia care; Serratus anterior plane block
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