How is anesthesia administered for a modified radical mastectomy?

Updated: Jun 18, 2021
  • Author: Nafisa K Kuwajerwala, MD; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

Anesthesia

General anesthesia is used without a neuromuscular blocking agent for the mastectomy and axillary dissection. If the patient is undergoing immediate breast reconstruction at the same time as the mastectomy, a paralytic is often used after completion of the axillary lymph node dissection.

A thoracic paravertebral block may also be used to provide both procedural and postprocedural analgesic effects, leading to a reduction in postoperative pain both immediately and over the following 24 hours. [18]


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