Abstract
Anesthesia management in patients with multiple comorbidities is extremely challenging for the anesthesiologist. We aimed to present anesthesia management with dexmedetomidine sedation accompanied by thoracic epidural anesthesia and serratus anterior plane block in a 59-year-old high-risk patient with multiple comorbidities who was planned for modified radical mastectomy. We suggest that serratus anterior plane block can be used combined with thoracic epidural anesthesia as an effective, safe, and feasible method for hemodynamic stability in intraoperative and postoperative pain control in patients undergoing modified radical mastectomy surgery and in reducing the need for postoperative analgesic use and postoperative complications.
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