Regional anesthesia for axillary lymph node excisional biopsy in a patient with anterior mediastinal mass

Abstract

Regional blocks for the anterolateral chest wall are challenging in regard to the anatomical basics and innervation, the limitation of evidence, lack of guidelines, and wide discrepancy in practice among health practitioners. Despite the challenges, new fascial plane blocks have been used recently more often as analgesic techniques. In very few occasions these techniques have been reported in literature as surgical blocks in certain cases where General anesthesia was not the favorable choice. In this case, we present a challenging case which was postponed due to her high risk for general anesthesia due to multiple comorbidities and for status optimization. At the same time, her procedure was time sensitive to diagnose her medical illness and initiate the proper management.

Keywords: Regional Anesthesia; Pain Management; Fascia Plane Block; Nerve Block

Citation: Misnid OA. Regional anesthesia for axillary lymph node excisional biopsy in a patient with anterior mediastinal mass. Anaesth. pain intensive care 2025;29(3):711-714. DOI: 10.35975/apic.v29i3.2779

Received: February 11, 2025; Revised: February 15, 2025; Accepted: February 16, 2025