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[Forequarter amputation under locoregional anesthesia].

José Alves de Moraes, Tarcisio José Cysneiros da Costa Reis, Holmes Naspolini Filho

Revista Do Colegio Brasileiro De Cirurgioes

|February 28, 2014

Summary

Forequarter amputation, a rare surgery for shoulder tumors, was performed using regional anesthesia. This case study explores an alternative to general anesthesia for this complex procedure.

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Area of Science:

Surgical Oncology
Anesthesiology
Orthopedic Oncology

Background:

Forequarter amputation is an uncommon surgical option for upper limb and shoulder girdle tumors.
General anesthesia is typically employed for this extensive procedure.
Alternative anesthetic techniques may offer benefits for specific patient populations.

Observation:

A case of forequarter amputation via the posterior approach was performed.
The indication for surgery was a soft-tissue sarcoma.
The surgical procedure was conducted under regional anesthesia.

Findings:

The forequarter amputation was successfully performed under a brachial plexus block with venous sedation and local anesthesia.
This anesthetic approach provided an alternative to general anesthesia for the surgical management of the sarcoma.
The posterior approach facilitated the forequarter amputation.

Implications:

Regional anesthesia can be a viable alternative to general anesthesia for forequarter amputations.
This approach may reduce risks associated with general anesthesia in select patients.
Further research into anesthetic techniques for forequarter amputation is warranted.