Local and Paravertebral Block Anesthesia for Outpatient Elective Breast Cancer Surgery

Most breast cancer operations in the United States are performed with the patient given general anesthesia. We retrospectively reviewed our prospective breast cancer database to determine the percentage of patients who underwent breast cancer operations with either local or paravertebral block regio...

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Published inArchives of surgery (Chicago. 1960) Vol. 145; no. 6; pp. 592 - 594
Main Authors Kitowski, Nicholas J, Landercasper, Jeffrey, Gundrum, Jacob D, De Maiffe, Brooke M, Chestnut, David H, Bottcher, Michael L, Johnson, Jeanne M, Johnson, Rebecca L
Format Journal Article
LanguageEnglish
Published Chicago, IL American Medical Association 01.06.2010
Subjects
Ambulatory Surgical Procedures - adverse effects
Ambulatory Surgical Procedures - methods
Amides - therapeutic use
Anesthesia
Anesthesia, Local - methods
Anesthesia, Spinal - methods
Biological and medical sciences
Breast cancer
Breast Neoplasms - surgery
Bupivacaine - therapeutic use
Cohort Studies
Female
Follow-Up Studies
General aspects
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Mastectomy
Mastectomy - methods
Medical sciences
Middle Aged
Nausea
Nerve Block - methods
Outpatient care facilities
Pain Measurement
Pain, Postoperative - physiopathology
Postoperative period
Probability
Retrospective Studies
Risk Assessment
Surgery
Treatment Outcome
Tumors
Vomiting
United States > US
Human
Breast disease
Patient
Breast cancer
Malignant tumor
Medicine
Mammary gland diseases
Treatment
Surgery
Local anesthesia
Ambulatory
Mammary gland
Cancer
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Summary:Most breast cancer operations in the United States are performed with the patient given general anesthesia. We retrospectively reviewed our prospective breast cancer database to determine the percentage of patients who underwent breast cancer operations with either local or paravertebral block regional anesthesia from January 1 through June 30, 2008. Fifty-two of 70 patients (74%) were able to undergo breast cancer surgery with local or paravertebral block regional anesthesia. Operations included mastectomy, full axillary dissections, and expander or implant reconstruction. There were no conversions to general anesthesia and no unplanned overnight admissions. Only 5 of 52 patients (10%) undergoing surgery with local or paravertebral block regional anesthesia developed postoperative nausea or vomiting. We conclude that most elective outpatient breast cancer surgery operations can be performed with the patients given local or regional anesthesia.Arch Surg. 2010;145(6):592-594-->
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ISSN:0004-0010
2168-6254
1538-3644
2168-6262
DOI:10.1001/archsurg.2010.77