caa a22 4500 605510520 CHVBK 20210128100646.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10877-014-9599-x doi (NATIONALLICENCE)springer-10.1007/s10877-014-9599-x Thermal imaging evaluation of paravertebral block for mastectomy in high risk patient: case report [Elektronische Daten] [Marcin Możański, Bartosz Rustecki, Bolesław Kalicki, Anna Jung] Thoracic paravertebral block is the technique of injecting local anesthetic adjacent to the thoracic vertebra close to where the spinal nerves emerge from the intervertebral foramina. It is effective in treating acute and chronic pain of unilateral origin from the chest and abdomen. This technique causes pain relief with pulmonary function preservation and great hemodynamic stability. 66year old woman (156cm, 80kg, BMI 32) with chronic right heart failure, hypertension and obesity, on chronic oxygen therapy was presented for elective mastectomy due to breast cancer. She suffered from severe COPD and also bullous emphysema. FVC 1.59l; FEV1 0.55l; FEV1%FVC 34.6. The paravertebral block was performed using the multi-shot percutaneous technique with additional light general anesthesia. For confirmation, of proper analgesia range, control of temperature changes, using FLIR i7 infrared camera, was performed. Control photos were made 20min after the blockade and then 10min later. Infrared photo showed rise of temperature reading in every marked region. There were no hemodynamic and pulmonary complications postoperatively. Paravertebral block in combination with sedation creates excellent conditions for breast surgery procedures. Additional temperature changes monitoring performed with infrared camera may confirm proper range of analgesia needed to perform surgery. Great cardiovascular stability and very good pulmonary function preservation make this method excellent for high risk patients. Low complication rate is additional advantage. In our opinion this method is recommendable. The Author(s), 2014 Paravertebral block nationallicence Mastectomy nationallicence Analgesia nationallicence Infrared photo nationallicence Monitoring nationallicence Możański Marcin Department of Anesthesiology and Intensive Care, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut Rustecki Bartosz Department of Anesthesiology and Intensive Care, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut Kalicki Bolesław Department of Pediatrics, Nephrology and Allergology, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut Jung Anna Department of Pediatrics, Nephrology and Allergology, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/2(2015-04-01), 297-299 1387-1307 29:2<297 2015 29 10877 https://doi.org/10.1007/s10877-014-9599-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9599-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Możański Marcin Department of Anesthesiology and Intensive Care, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut NATIONALLICENCE 700 1- Rustecki Bartosz Department of Anesthesiology and Intensive Care, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut NATIONALLICENCE 700 1- Kalicki Bolesław Department of Pediatrics, Nephrology and Allergology, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut NATIONALLICENCE 700 1- Jung Anna Department of Pediatrics, Nephrology and Allergology, Military Institute of Medicine, St. Szaserów 128, Warsaw, Poland aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/2(2015-04-01), 297-299 1387-1307 29:2<297 2015 29 10877