Simple anesthesia for simple mastectomies.
We describe our technique for simple mastectomy under local anesthesia for patients with high anesthetic risk factors, particularly the elderly. Seven patients with a mean age of 88 years (range 80-94 years) with American Society of Anesthesiologists (ASA) classes of three or four were given a simple mastectomy using local anesthesia and an intravenous sedative. Blood loss was minimal (mean = 95.7 cm3), as was operating room time (mean = 62 min). Most patients were returned to nursing homes on post-operative day 2. There were no complications related to the procedure.
Joseph
Abed Y
AY
Easton Hospital, Department of Surgery, Easton, PA 18042, USA. jabed1@msn.com
Bloch
Robert
R
Yee
Sandra
S
D000368:Aged; D000369:Aged, 80 and over; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D015413:Mastectomy, Simple; D008619:Mepivacaine; D016896:Treatment Outcome
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D008619:Mepivacaine