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Case Studies | Anaesthesiology | India | Volume 12 Issue 12, December 2023 | Rating: 5.2 / 10
Thoracic Segmental Spinal Anaesthesia for Breast Surgeries - A Prospective Case Series
Sandeep Reddy [6] | Kiran Madhala
Abstract: The epidemiology of breast pathologies has seen a notable rise, driven by increased awareness, screening efforts, and advanced diagnostic tools, necessitating a surge in surgical treatments. While general anesthesia remains the conventional choice for breast surgeries, it comes with drawbacks such as drug-related side effects, delayed recovery, and inadequate post-operative pain management. As an alternative, this study explores the feasibility and effectiveness of thoracic segmental spinal anesthesia in female patients undergoing minor breast surgeries. A case series involving five ASA I / II female patients with breast pathologies undergoing procedures like Lumpectomy and Fibroadenoma excision was conducted. The patients received thoracic segmental spinal anesthesia at T4-T5 level, and outcomes were observed. The study found that this technique was effective, resulting in minimal hemodynamic instability and high patient satisfaction. However, further research with larger sample sizes and comparative analysis is warranted to comprehensively evaluate potential drawbacks and complications associated with this approach.
Keywords: breast pathologies, thoracic segmental spinal anesthesia, minor breast surgery, anesthesia technique, patient satisfaction, isobaric ropivacaine, butorphanol
Edition: Volume 12 Issue 12, December 2023,
Pages: 559 - 560