Research & Innovation in Anesthesia

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VOLUME 7 , ISSUE 1 ( January-June, 2022 ) > List of Articles

CASE REPORT

Management of a Case of Excision of Tongue Lesion with Neck Dissection under Regional Anesthesia in a Patient with High Risk for General Anesthesia

Kala Eswaran, Harbhajan S Saini, Dhiraj S Khadakban, Yogendra Gupta, Pramod S Manohar

Keywords : Glossopharyngeal nerve block, Interstitial lung disease, Postoperative pulmonary complications, Regional anesthesia, Superficial and intermediate cervical plexus block

Citation Information : Eswaran K, Saini HS, Khadakban DS, Gupta Y, Manohar PS. Management of a Case of Excision of Tongue Lesion with Neck Dissection under Regional Anesthesia in a Patient with High Risk for General Anesthesia. Res Inno Anesth 2022; 7 (1):19-21.

DOI: 10.5005/jp-journals-10049-2002

License: CC BY-NC 4.0

Published Online: 30-03-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

With the increase in life expectancy, nowadays we commonly come across with patients with many comorbidities, which make them high risk for general anesthesia. In these patients, regional anesthesia becomes a preferred choice because of its better safety profile and lesser risk of morbidity and mortality. We describe management of a patient with interstitial lung disease for wide local excision of tongue lesion with neck dissection under regional anesthesia.


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  1. Smetana GW, Lawrence VA, Cornell JE. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006;144(8):581–595. DOI: 10.7326/0003-4819-144-8-200604180-00009
  2. Choi SM, Lee J, Park YS, et al. Postoperative pulmonary complications after surgery in patients with interstitial lung disease. Respiration 2014;87:287–293. DOI: 10.1159/000357046
  3. Licker M, Schweizer A, Ellenberger C, et al. Perioperative medical management of patients with COPD. Int J Chron Obstruct Pulmon Dis 2007:2(4):493–515. PMID: 18268924 PMCID: PMC2699974
  4. Hayes SMS, El-Bendary HM, Ramzy EA, et al. Efficacy of unilateral combined (superficial and deep) cervical plexus block as a preemptive analgesia for unilateral neck dissection surgery. Egypt J Anaesth 2012;28:275–279. DOI: 10.1016/j.egja.2012.07.003
  5. Pintarič TS. Upper airway blocks for awake difficult airway management. Acta Clin Croat 2016;55(Suppl 1):85–89. DOI: 10.20471/acc.2016.55.s1.12
  6. Henthorn RW, Amayem A, Ganta R. Which method for intraoral glossopharyngeal nerve block is better? Anesth Analg 1995;81(5): 1113–1114. DOI: 10.1097/00000539-199511000-00050
  7. Hipskind JE, Ahmed AA, Cervical Plexus Block. IN StatPearls [Internet].Treasure Island (FL): StatPearls Publishing; 2021 Jan
  8. Mukhopadhyay S, Niyogi M, Dutta M, et al. Bilateral superficial cervical plexus block with or without low-dose intravenous ketamine analgesia: effective, simple, safe, and cheap alternative to conventional general anesthesia for selected neck surgeries. Local Reg Anesth 2012:5;1–7. DOI: 10.2147/LRA.S28360
  9. Roy R, Patnaik S, Padhy R, et al. Superficial and intermediate cervical plexus block for neck dissection in patients with high risk of general anaesthesia. J Anesth Crit Care 2015;3(2). DOI: 10.15406/jaccoa.2015.03.00093
  10. Xuan W, Hankin J, Zhao H, et al. The potential benefits of the use of regional anesthesia in cancer patients Int J Cancer 2015;137(12): 2774–2784. DOI: 10.1002/ijc.29306
  11. Bodenham AR, Howell SJ. General anaesthesia vs local anaesthesia: an ongoing story. Br J Anaesth 2009;103:785–789. DOI: 10.1093/bja/aep310
  12. Scavonetto F, Yeoh TY, Umbreit EC, et al. Association between neuraxial analgesia, cancer progression, and mortality after radical prostatectomy: a large, retrospective matched cohort study. Br J Anaesth 2014;113 (Suppl 1): i95–i102. DOI: 10.1093/bja/aet467
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