caa a22 4500 445374438 CHVBK 20180317142958.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1194-4 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1194-4 Multilevel nerve stimulator-guided paravertebral block as a sole anesthetic technique for breast cancer surgery in morbidly obese patients [Elektronische Daten] [Zoher Naja, Nicole Naccache, Fouad Ziade, Mariam El-Rajab, Taha Itani, Anis Baraka] In this case series, we present the effectiveness of multilevel nerve stimulator-guided paravertebral block (PVB) technique in obese women of body mass index ≥30kg/m2 undergoing breast cancer surgery with or without axillary dissection. Twenty-six obese women were included in this case series. Block classification, hemodynamics and complication rate, postoperative nausea and vomiting, postoperative analgesic consumption, post-anesthesia care unit (PACU) stay, and hospital stay were recorded. All patients were hemodynamically stable during the operation, and no complications were noted. Patients stayed 69min on average in the PACU and were discharged within 2days. Confirmation of the landmark was established from the initial attempt in 61.5%. Surgical PVB was achieved in 76.9% of the patients; the failure rate of the technique was 11.5%. This case series suggested that the multilevel nerve stimulator-guided PVB may be an effective technique for obese patients undergoing breast cancer surgery, although further studies are needed to compare PVB and general anesthesia. Japanese Society of Anesthesiologists, 2011 Paravertebral block nationallicence Morbid obesity nationallicence Breast cancer surgery nationallicence Naja Zoher Department of Anesthesia and Pain Medicine, Makassed General Hospital, Riad EI-Solh, P.O. Box 11 6301, 11072210, Beirut, Lebanon aut Naccache Nicole Department of Anesthesia, Hôtel Dieu de France, Beirut, Lebanon aut Ziade Fouad Faculty of Public Health, Lebanese University, Beirut, Lebanon aut El-Rajab Mariam Department Pediatrics, Makassed General Hospital, Beirut, Lebanon aut Itani Taha Research Unit, Makassed General Hospital, Beirut, Lebanon aut Baraka Anis Department of Anesthesia, American University of Beirut, Medical Center, Beirut, Lebanon aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 760-764 0913-8668 25:5<760 2011 25 540 https://doi.org/10.1007/s00540-011-1194-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1194-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Naja Zoher Department of Anesthesia and Pain Medicine, Makassed General Hospital, Riad EI-Solh, P.O. Box 11 6301, 11072210, Beirut, Lebanon aut NATIONALLICENCE 700 1- Naccache Nicole Department of Anesthesia, Hôtel Dieu de France, Beirut, Lebanon aut NATIONALLICENCE 700 1- Ziade Fouad Faculty of Public Health, Lebanese University, Beirut, Lebanon aut NATIONALLICENCE 700 1- El-Rajab Mariam Department Pediatrics, Makassed General Hospital, Beirut, Lebanon aut NATIONALLICENCE 700 1- Itani Taha Research Unit, Makassed General Hospital, Beirut, Lebanon aut NATIONALLICENCE 700 1- Baraka Anis Department of Anesthesia, American University of Beirut, Medical Center, Beirut, Lebanon aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 760-764 0913-8668 25:5<760 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer