title: Simple anesthesia for simple mastectomies.
abstract: 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.
authors.affiliation: Easton Hospital, Department of Surgery, Easton, PA 18042, USA. jabed1@msn.com
authors.forename: Abed Y
authors.initials: AY
authors.lastname: Joseph
authors.forename: Robert
authors.initials: R
authors.lastname: Bloch
authors.forename: Sandra
authors.initials: S
authors.lastname: Yee
mesh_terms: 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
chemical_list: D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D008619:Mepivacaine