Combinations of nerve blocks in surgery for post COVID-19 pulmonary sequelae patient: A case report and review of literature

World J Clin Cases. 2023 Feb 16;11(5):1198-1205. doi: 10.12998/wjcc.v11.i5.1198.

Abstract

Background: Regional anesthesia is a promising method in patients with post coronavirus disease 2019 (COVID-19) pulmonary sequelae for preserving pulmonary function and preventing postoperative pulmonary complications, compared with general anesthesia.

Case summary: We provided surgical anesthesia and analgesia suitable for breast surgery by performing pectoral nerve block type II (PECS-II), parasternal, and intercostobrachial nerve blocks with intravenous dexmedetomidine administration in a 61-year-old female patient with severe pulmonary sequelae after COVID-19 infection.

Conclusion: Sufficient analgesia for 7 h was provided via PECS-II, parasternal, and intercostobrachial blocks perioperatively.

Keywords: Analgesia; Anesthesia; COVID-19; Case report; Nerve block; Regional anesthesia.

Publication types

  • Case Reports