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http://hdl.handle.net/20.500.12188/11142
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Dimitrovski Aleksandar | en_US |
dc.contributor.author | Kuzmanovska Biljana | en_US |
dc.contributor.author | Kartalov Andrijan | en_US |
dc.contributor.author | Tolevska Dimitrovska Natasha | en_US |
dc.contributor.author | Panovska Petrusheva, Aleksandra | en_US |
dc.contributor.author | Borislav Kondov | en_US |
dc.contributor.author | Toleska Marija | en_US |
dc.date.accessioned | 2021-03-22T12:41:29Z | - |
dc.date.available | 2021-03-22T12:41:29Z | - |
dc.date.issued | 2018-11-23 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12188/11142 | - |
dc.description.abstract | Background : Peck 1 and Peck 2 are superfitial interphascial blocks between the muscles of anterior thoracic wall. They block pectoral and intercostal nerves on the ap- propriate side. Ultrasound guided, the application site is precisely determined, followed by the hydrodysection between the muscles from the local anesthetic. They provide adequate analgesia for breast surgery. Methods : A 72 year old female patient with Myasthenia gravis, ischemic heart disease, arterial hypertension, AFF and varicose veins on the legs, classified as ASA 4 is scheduled for surgery due to breast cancer. Quadrantectomy of the right mammary gland (upper lateral quadrant) with axillary lymph dissection is planned. After setting monitoring, 1 mg of Dormicum, 50 mcg of Fentanyl and amp.Analgin 2.5g was applied. Under ultra-sound on a level of fourth rib first performed Peck 2 block applying 20 mL of 0.5% Bupivacaine between m.pectoralis minor and m.seratus anterior. Then Peck 1 block, applying 10 mL of 0.5% Bupivacaine between minor and major pectoral muscles. The patient is seated with 20 ml / h with Propofol continuously. Results During the intervention, analgesia and comfort of the patient were provided. Vital parameters were stable. In the postoperative period, the patient didn’t re- ceive analgetics. Conclusion: These blocks can be adequate substitute for general anesthesia, es- pecially in patients with comorbidities who need breast surgery. They are simple to perform and with the addition of adequate perioperative analgesia, you can provide significant post-operative analgesia and the use of opiates is reduced to minimum. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Serbian Congress of Anesthesiologists and Intesivists | en_US |
dc.title | PECs blocks as basic anesthesiological technique for breast cancer in a patient with Myestenia gravis | en_US |
dc.type | Proceeding article | en_US |
dc.relation.conference | 13th Serbian Congress of Anesthesiologists and Intesivists, November 23-25, 2018, Belgrade, Serbia | en_US |
item.fulltext | With Fulltext | - |
item.grantfulltext | open | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Faculty of Medicine | - |
crisitem.author.dept | Ss. Cyril and Methodius University in Skopje | - |
Appears in Collections: | Faculty of Medicine: Conference papers |
Files in This Item:
File | Опис | Size | Format | |
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Final-program-2018-nov.pdf | Cela programa | 106.24 kB | Adobe PDF | View/Open |
Sun.3.-Poster-station-3.-Prof-Palibrk-Abstract-session-participants.pdf | Sesijata vo koja e temata | 84.38 kB | Adobe PDF | View/Open |
Abstract.png | Abstraktot | 174.96 kB | image/png | ![]() View/Open |
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