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Year : 2021  |  Volume : 14  |  Issue : 4  |  Page : 199-201

Thoracic paravertebral block as an alternative to general anaesthesia in patients with hypertrophic cardiomyopathy for elective breast surgeries: A case series study

1 Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
2 Department of Ophthalmology, Command Hospital, Pune, Maharashtra, India

Correspondence Address:
Shalendra Singh
Department of Anaestheiology and Critical Care, Armed Forces Medical College, Pune - 411 040, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/hmj.hmj_47_21

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Introduction: Sympathetic stimulation during general anaesthesia (GA) in hypertrophic cardiomyopathy (HOCM) patients poses the risk of sudden intraoperative death. Regional anaesthesia using paravertebral block (PVB) provides an excellent alternative to GA in HOCM patients undergoing carcinoma breast surgery. Case Report: We hereby describe the perioperative management of three patients of HOCM, with PVB as the preferred anaesthetic modality. Conclusion: Thoracic PVB is a safe and efficacious technique which provides good intra-operative haemodynamic stability and a superior postoperative analgesia for breast surgery in HOCM patients.

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