在患有严重心肺呼吸系统疾病的患者中进行清醒乳房切除术
R Harling1, G Williams1, Z P Spilsbury1
1Department of Anaesthesia Morriston Hospital Swansea UK.
Anaesthesia reports
|January 23, 2026
概括
使用区域麻醉的清醒乳房切除术是高风险患者的安全替代方案. 本案例报告详细介绍了血管瘤的成功手术,强调了复杂病例的个性化麻醉技术.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
背景情况:
- 区域麻醉对于具有重大风险的患者来说,是一种比全身麻醉更安全的替代方案.
- 清醒乳房切除正在为特定患者群体获得认可.
研究的目的:
- 在患有二次血管肉瘤和复杂并发症的患者中,描述一个成功的清醒全乳房切除术.
- 强调在清醒乳腺切除术中区域麻醉所需的挑战和个性化方法.
主要方法:
- 一种计划的区域麻醉技术,涉及多层横向准脊椎阻塞,乳房间肋骨层平面阻塞,和一个超关节关节臂阻塞.
- 详细探索乳房,前胸壁和下的复杂的感官内化.
- 考虑个性化麻醉计划的患者特异性和手术因素.
主要成果:
- 在区域麻醉下,在切除术的最佳条件下,成功地完成了全乳房切除术.
- 患者报告了积极的外科经验,包括预评估和出院.
- 尽管患者有肺高血压,但镇静管理成功导航.
结论:
- 清醒乳房切除术是一个可行的,以患者为中心的选择,适合适当选择的个体.
- 这个案例支持在高风险患者中更广泛地实施乳房切除术的区域麻醉.
- 个性化麻醉技术对于管理复杂病例和确保患者舒适至关重要.
相关概念视频
Anatomy of Respiratory System II: Lower Respiratory Tract
3.4K
The lower respiratory tract is anatomically composed of several vital structures, including the larynx, trachea, bronchial tree, alveoli, lungs, and pleurae. Each component has a specific function, and all are intricately connected to ensure efficient respiration.
The Larynx
It is located between the pharynx and the trachea, acts as a passageway for air, and hosts several critical structures, such as the epiglottis, vocal cords, and glottis. The epiglottis acts as a gateway, guiding food to the...
The Larynx
It is located between the pharynx and the trachea, acts as a passageway for air, and hosts several critical structures, such as the epiglottis, vocal cords, and glottis. The epiglottis acts as a gateway, guiding food to the...
3.4K
The Respiratory System
89.2K
The respiratory system is comprised of the organs that enable breathing. Air enters the nostrils and mouth, followed by the pharynx (throat) and larynx (voice box), which lead to the trachea (windpipe). In the thoracic cavity, the trachea splits into two bronchi that allow air to enter the lungs. The bronchi split into progressively smaller bronchioles and terminate in small groups of tiny sacs in the lungs called alveoli, where gas exchange occurs.
89.2K
Anatomy of Respiratory System I: Upper Respiratory Tract
5.0K
The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
5.0K
Overview of Respiratory System
9.2K
The respiratory system is a complex biological apparatus that facilitates the exchange of gases, specifically oxygen and carbon dioxide, between our bodies and the environment. This system plays a vital role in the physiological process of respiration, an essential function for sustaining life.
What is the Respiratory System?
The respiratory system consists of a series of organs responsible for taking in oxygen and expelling carbon dioxide. The primary function of the respiratory system is to...
What is the Respiratory System?
The respiratory system consists of a series of organs responsible for taking in oxygen and expelling carbon dioxide. The primary function of the respiratory system is to...
9.2K
Respiratory Volumes
2.9K
Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
2.9K
Respiratory Capacities
1.4K
Respiratory capacities are crucial indicators of lung function, representing the maximum amount of air an individual's respiratory system can handle during various breathing phases.
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
1.4K


