Jin Y, Lee S, Kim D, Hur J, Eom W. Combinations of nerve blocks in surgery for post COVID-19 pulmonary sequelae patient: A case report and review of literature. World J Clin Cases 2023; 11(5): 1198-1205 [PMID: 36874415 DOI: 10.12998/wjcc.v11.i5.1198]
Corresponding Author of This Article
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
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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.
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.
