SPINAL ANESTHESIA AND INTERSCALENE / SUPERFICIAL CERVICAL BLOCK iN MULTIPLE MYELOMA PATHOLOGICAL FRACTURE

Yıl 2019, Cilt: 10 Sayı: 3, 81 - 84, 01.07.2019

Ayşegül Bilge Sule Arıcan

https://doi.org/10.33706/jemcr.609134

Öz

Objective: The use of novel chemothe  rapeutic agents in the  treatment of multiple myeloma (MM) has improved life expe ctancy  and quality of life in thesepatients in t he last decade. Therefore, more MM pati ents are treated for repeati ng path ologica l fractures.

Case Report: in our case spinal, interscalene and superficial cervical blocks were performed in a 61-ye ar-old MM patient who will be operated due to tibial and humoral pathologic fractures and was at risk for general anesth esia due to cardiac and pulmonary problems.

Conclusion: in this report, we demonstrated that the use of regional anesthesia is a good option in order to minimizeanest hesi a related risk level in the presence of MM.

Anahtar Kelimeler

multiple myeloma, regional anesth esia

Kaynakça

• 1. Prasad KK. Multiple myeloma. in M. Roizen, L. Fleisher , Editors. Essence of anaesthesia practice. 2nd ed. Philadelphia: W.B. Saunders Company; 2002. p.229.
• 2. Lae ME, Vencio EF, lnwards CV, Unni KK, Nascimento AG. Myeloma of the jawbones: a clinico pathologic study of 33 cases. Head Neck 2003; 25:373-81.
• 3. Zun KH, Choi HM. Multiple myeloma presenting as vertebral compressio during pregnancy. lntJGynecol Obstet. 2008: 100; 89- 90.
• 4. Hawkins PN,Pepys MB. lmaging amyloidosis with radiolabelled SAP. Eur J Nucl Med. 1995; 22: 595-9.
• 5. Bisoyi S, Narayan Pratihary B, Mohapatra R, Nayak D, Dash B. Perioperative considerations in the management of a patient with Multiple Myeloma Undergoing Aortic Valve Replacement. J Cardiothorac Vasc Anesth. 2015; 29: 151-5.
• 6. Binici O, Akyoi F. Combined sciatic-psoas compartment nerve block in a patientwith multiple myeloma. EastJ Med. 2016; 21: 197-9.
• 7. Horlocker TT,Wedel DJ. Regional anaesthesia in the immuno compromised patient. Reg Anesth Pain Med . 2006; 31: 334-45.
• 8. Parmet JL, Horrow JC. Hematologic diseases. in J.L. Benumof, Editor. Anaesthesia and uncommon diseases. 4th ed. Philadelphia: W.B. Saunders Company; 1998. p. 311.
• 9. Urwin SC, Parker MJ, Griffiths R. General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials. Br J Anaesth 2000; 84: 450-5.
• 10. Chia N, Low TC, Poon KH. Peripheral nerve blocks for lower limb surgery-a choice anaesthetic technique for patients with a recent myocardial infarction? Singapore Med J 2002; 43: 583-6.