Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2023; 11(5): 1198-1205
Published online Feb 16, 2023. doi: 10.12998/wjcc.v11.i5.1198
Combinations of nerve blocks in surgery for post COVID-19 pulmonary sequelae patient: A case report and review of literature
Yehun Jin, Suzie Lee, Daehyun Kim, Jangho Hur, Woosik Eom
Yehun Jin, Suzie Lee, Daehyun Kim, Jangho Hur, Woosik Eom, Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang-si 10408, Gyeonggi-do, South Korea
Author contributions: Jin Y and Lee SZ contributed to manuscript writing and editing; Kim DH, Hur JH, and Eom WS contributed to conceptualization and methodology; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflict of interests.
CARE Checklist (2016) statement: All authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yehun Jin, MD, Doctor, Department of Anesthesiology and Pain Medicine, National Cancer Center, Ilsandong-gu, Ilsan-ro 323, Goyang-si 10408, Gyeonggi-do, South Korea. jessandjulia@ncc.re.kr
Received: November 14, 2022
Peer-review started: November 14, 2022
First decision: January 12, 2023
Revised: January 20, 2023
Accepted: January 28, 2023
Article in press: January 28, 2023
Published online: February 16, 2023
Processing time: 91 Days and 19 Hours
Abstract
BACKGROUND

Regional anesthesia is a promising method in patients with post coronavirus disease 2019 (COVID-19) pulmonary sequelae for preserving pulmonary function and preventing postoperative pulmonary complications, compared with general anesthesia.

CASE SUMMARY

We provided surgical anesthesia and analgesia suitable for breast surgery by performing pectoral nerve block type II (PECS-II), parasternal, and intercostobrachial nerve blocks with intravenous dexmedetomidine administration in a 61-year-old female patient with severe pulmonary sequelae after COVID-19 infection.

CONCLUSION

Sufficient analgesia for 7 h was provided via PECS-II, parasternal, and intercostobrachial blocks perioperatively.

Keywords: Analgesia; Anesthesia; COVID-19; Regional anesthesia; Nerve block; Case report

Core Tip: This is the first clinical case report of the application of multiple nerve blocks for breast cancer surgery in a patient with severe post coronavirus disease 2019 (COVID-19) pulmonary sequelae. The use of performing pectoral nerve block type II (PECS-II), parasternal, and intercostobrachial nerve blocks provided sufficient analgesic and anesthetic effects during the perioperative period. Therefore, this case report suggests an alternative anesthetic modality for post COVID-19 patients who are at a high risk of receiving general anesthesia for breast surgery.