Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series
ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fif...
Ausführliche Beschreibung
Autor*in: |
DANIELE THEOBALD [verfasserIn] BRUNO LUÍS DE CASTRO ARAUJO [verfasserIn] LUIZ CLAUDIO SANTOS THULER [verfasserIn] ROSSANO KEPLER ALVIM FIORELLI [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Spanisch ; Portugiesisch |
Erschienen: |
2023 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões, 2005, 50(2023) |
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Übergeordnetes Werk: |
volume:50 ; year:2023 |
Links: |
Link aufrufen |
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DOI / URN: |
10.1590/0100-6991e-20233398-en |
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Katalog-ID: |
DOAJ08089870X |
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10.1590/0100-6991e-20233398-en doi (DE-627)DOAJ08089870X (DE-599)DOAJ298925d92a6c4128a0ce65e5a2d6a329 DE-627 ger DE-627 rakwb eng spa por RD1-811 DANIELE THEOBALD verfasserin aut Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. Melanoma Skin Neoplasms Anesthesia, Conduction Surgery BRUNO LUÍS DE CASTRO ARAUJO verfasserin aut LUIZ CLAUDIO SANTOS THULER verfasserin aut ROSSANO KEPLER ALVIM FIORELLI verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 50(2023) (DE-627)508333725 (DE-600)2223714-8 18094546 nnns volume:50 year:2023 https://doi.org/10.1590/0100-6991e-20233398-en kostenfrei https://doaj.org/article/298925d92a6c4128a0ce65e5a2d6a329 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100500&lng=en&tlng=en kostenfrei http://www.scielo.br/pdf/rcbc/v50/0100-6991-rcbc-50-e20233398.pdf kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 50 2023 |
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10.1590/0100-6991e-20233398-en doi (DE-627)DOAJ08089870X (DE-599)DOAJ298925d92a6c4128a0ce65e5a2d6a329 DE-627 ger DE-627 rakwb eng spa por RD1-811 DANIELE THEOBALD verfasserin aut Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. Melanoma Skin Neoplasms Anesthesia, Conduction Surgery BRUNO LUÍS DE CASTRO ARAUJO verfasserin aut LUIZ CLAUDIO SANTOS THULER verfasserin aut ROSSANO KEPLER ALVIM FIORELLI verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 50(2023) (DE-627)508333725 (DE-600)2223714-8 18094546 nnns volume:50 year:2023 https://doi.org/10.1590/0100-6991e-20233398-en kostenfrei https://doaj.org/article/298925d92a6c4128a0ce65e5a2d6a329 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100500&lng=en&tlng=en kostenfrei http://www.scielo.br/pdf/rcbc/v50/0100-6991-rcbc-50-e20233398.pdf kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 50 2023 |
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10.1590/0100-6991e-20233398-en doi (DE-627)DOAJ08089870X (DE-599)DOAJ298925d92a6c4128a0ce65e5a2d6a329 DE-627 ger DE-627 rakwb eng spa por RD1-811 DANIELE THEOBALD verfasserin aut Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. Melanoma Skin Neoplasms Anesthesia, Conduction Surgery BRUNO LUÍS DE CASTRO ARAUJO verfasserin aut LUIZ CLAUDIO SANTOS THULER verfasserin aut ROSSANO KEPLER ALVIM FIORELLI verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 50(2023) (DE-627)508333725 (DE-600)2223714-8 18094546 nnns volume:50 year:2023 https://doi.org/10.1590/0100-6991e-20233398-en kostenfrei https://doaj.org/article/298925d92a6c4128a0ce65e5a2d6a329 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100500&lng=en&tlng=en kostenfrei http://www.scielo.br/pdf/rcbc/v50/0100-6991-rcbc-50-e20233398.pdf kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 50 2023 |
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10.1590/0100-6991e-20233398-en doi (DE-627)DOAJ08089870X (DE-599)DOAJ298925d92a6c4128a0ce65e5a2d6a329 DE-627 ger DE-627 rakwb eng spa por RD1-811 DANIELE THEOBALD verfasserin aut Serratus plane block with sedation for patients submitted to axillary dissection: a prospective case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. Melanoma Skin Neoplasms Anesthesia, Conduction Surgery BRUNO LUÍS DE CASTRO ARAUJO verfasserin aut LUIZ CLAUDIO SANTOS THULER verfasserin aut ROSSANO KEPLER ALVIM FIORELLI verfasserin aut In Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões, 2005 50(2023) (DE-627)508333725 (DE-600)2223714-8 18094546 nnns volume:50 year:2023 https://doi.org/10.1590/0100-6991e-20233398-en kostenfrei https://doaj.org/article/298925d92a6c4128a0ce65e5a2d6a329 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100500&lng=en&tlng=en kostenfrei http://www.scielo.br/pdf/rcbc/v50/0100-6991-rcbc-50-e20233398.pdf kostenfrei https://doaj.org/toc/1809-4546 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 50 2023 |
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ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. |
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ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. |
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ABSTRACT Axillary dissection is a standard surgical procedure for stage III skin and soft tissue tumors and is usually performed under general anesthesia. This study aimed to investigate the feasibility of performing axillary dissection with Serratus muscle plane block plus intravenous sedation. Fifteen patients undergoing axillary dissection were prospectively recruited. The patients were evaluated during their pre-operative anesthetic appointment, during their procedure, and at post-operative days 1 and 30. The blockade was performed superficial to the Serratus muscle at the level of fourth rib. Sedation was performed using propofol, fentanyl, dexmedetomidine, and S-ketamine. None of the patients required conversion to general anesthesia. Surgeons showed a highly positive response when asked about the anesthetic technique, and most of them found the technique “indistinguishable” from general anesthesia. The median (interquartile range) pain scores at rest over all time frames was 0 (0-0). Furthermore, no patients developed nausea, hemodynamic instability, or any complications associated with the technique. The Serratus plane block associated with intravenous sedation proved feasible for axillary lymphadenectomy, however, further clinical trials should evaluate potential advantages compared to other techniques. |
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