Continuous multithoracic level paraspinous blocks for 5 days lead to relative cure in certain post-mastectomy patients.
Based on fact Multilevel paraverebral blocks are used for breast cancer surgery:
Thoracic Paravertebral Block for Breast Cancer Surgery: A Randomized Double-Blind Study
Jytte F. Moller, MD, PhD*, Lone Nikolajsen, MD, PhD*†, Svein Aage Rodt, MD, PhD*, Hanne Ronning, MD‡ and Palle S. Carlsson, MD, PhD*
Anesth Analg 2007;105:1848 –51)vol. 105 no. 6 1848-1851 free article here
American Journal of surgery
Volume 198, Issue 5, Pages 720-725 (November 2009)
Prospective randomized trial of paravertebral block for patients undergoing breast cancer surgery
Judy C. Boughey, M.D.a, Farzin Goravanchi, D.O.b, Ronald N. Parris, M.D.b, Spencer S. Kee, M.D.b, Alicia M. Kowalski, M.D.b, John C. Frenzel, M.D.b, Isabelle Bedrosian, M.D.a, Funda Meric-Bernstam, M.D.a, Kelly K. Hunt, M.D.a, Frederick C. Ames, M.D.a, Henry M. Kuerer, M.D., Ph.D.a, Anthony Lucci
So what if they did a 5 day block?
PARAVERTEBRAL BLOCS AS A CURATIVE TREATMENT FOR RESISTANT POST-MASTECTOMY PAIN SYNDROME
L. Labreze, Y. Kabbini, P. Saignac, F. Dixmerias, D. Monnin, A. Jeannin, S. Colombani, F. Lakdja, Dara, Inst. Bergonie, Bordeaux, France
IASP Poster PM 096, Montreal 2010
- resistant 6 month + post mastectomy cases.
- multilevel “multimetameric” T2-6 paraspinous catheters
- ropivacaïne local 3.75 mg/ml – 3xday for five days
Comment – first thought – never going to happen here; second thought is how sad that is…
It would require political will to make that happen and women seem capable of facilitating that – so you never know…