{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:35:45Z","timestamp":1740148545378,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anesthesiology Research and Practice"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Effects of perioperative cervical level neuraxial blocks on the dissemination of cancer metastases have become a matter of substantial interest. However, experience with these catheters has been limited and data on feasibility and efficacy is sparse.<jats:italic> Methods<\/jats:italic>. Data from 39 patients scheduled to undergo breast cancer surgery while awake with a cervical epidural alone was retrospectively analyzed.<jats:italic> Results<\/jats:italic>. In 26 patients (66,7%, 95% CI 51,7\u201381,7) the cervical epidural catheter was sufficient for surgery. In one patient (2.6%, 95% CI 0\u20137.6) identification of the epidural space was not possible. Four patients (10.3%, 95% CI 0,7\u201319,9) had an insufficient sensory block. Seven patients (17.9%, 95% CI 5,7\u201330,1) had a partially insufficient sensory block. Rates of failed epidural blocks were not significantly different between different insertion levels. 21 patients (80.8%, 95% CI 65,4\u201396,1) developed hypotension and required an intravenous vasopressor. One patient developed nausea. In one patient the dura was accidentally punctured. No neurological damage was observed. No other major complications were observed.<jats:italic> Discussion<\/jats:italic>. Epidural punctures in the cervical region are feasible but do bear potential for major complications. Anesthesiologists should familiarize themselves with high epidural block techniques.<\/jats:p>","DOI":"10.1155\/2017\/7024924","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T17:02:29Z","timestamp":1500397349000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7978-1978","authenticated-orcid":true,"given":"Manuel","family":"Wenk","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Massoth","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel M.","family":"P\u00f6pping","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"M\u00f6llmann","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, St. Franziskus Hospital, Muenster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20107"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cell.2006.11.001"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0889-1591(02)00063-6"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq164"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1038\/nrc1098"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e318217aada"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181de6d0d"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-010-1808-5"},{"issue":"3","key":"9","first-page":"275","volume":"77","year":"2011","journal-title":"Minerva Anestesiologica"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.2217\/pmt-2015-0008"},{"issue":"11","key":"11","first-page":"619","volume":"74","year":"2008","journal-title":"Minerva Anestesiologica"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2012.02731.x"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-015-0523-8"},{"issue":"2","key":"14","first-page":"147","volume":"15","year":"2012","journal-title":"Pain Physician"},{"issue":"3","key":"15","first-page":"285","volume":"14","year":"2011","journal-title":"Pain Physician"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200610000-00008"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181de0ab6"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1097\/01.anes.0000271919.18782.f4"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes214"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/S1098-7339(99)90038-X"},{"issue":"5","key":"21","first-page":"E757","volume":"18","year":"2015","journal-title":"Pain Physician"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq265"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198206000-00004"},{"issue":"2","key":"24","first-page":"E143","volume":"15","year":"2012","journal-title":"Pain Physician"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318168b6a8"}],"container-title":["Anesthesiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2017\/7024924.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2017\/7024924.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2017\/7024924.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T17:02:30Z","timestamp":1500397350000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/arp\/2017\/7024924\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":25,"alternative-id":["7024924","7024924"],"URL":"https:\/\/doi.org\/10.1155\/2017\/7024924","relation":{},"ISSN":["1687-6962","1687-6970"],"issn-type":[{"type":"print","value":"1687-6962"},{"type":"electronic","value":"1687-6970"}],"subject":[],"published":{"date-parts":[[2017]]}}}