title: Local and paravertebral block anesthesia for outpatient elective breast cancer surgery.
abstract: 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.
authors.affiliation: Department of Surgery, Gundersen Lutheran Health System, 1900 South Ave, Mailstop EB1-002, La Crosse, WI 54601, USA.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Kitowski
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Landercasper
authors.forename: Jacob D
authors.initials: JD
authors.lastname: Gundrum
authors.forename: Brooke M
authors.initials: BM
authors.lastname: De Maiffe
authors.forename: David H
authors.initials: DH
authors.lastname: Chestnut
authors.forename: Michael L
authors.initials: ML
authors.lastname: Bottcher
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Johnson
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Johnson
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D000577:Amides / Q000627:therapeutic use; D000772:Anesthesia, Local / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods; D001943:Breast Neoplasms / Q000601:surgery; D002045:Bupivacaine / Q000627:therapeutic use; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D000077212:Ropivacaine; D016896:Treatment Outcome
chemical_list: D000577:Amides; D000077212:Ropivacaine; D002045:Bupivacaine