title: Right Breast Mastectomy and Reconstruction with Tissue Expander under Thoracic Paravertebral Blocks in a 12-Week Parturient.
abstract: Paravertebral blocks are becoming increasingly utilized for breast surgery with studies showing improved postoperative pain control, decreased need for opioids, and less nausea and vomiting. We describe the anesthetic management of an otherwise healthy woman who was 12 weeks pregnant presenting for treatment of her breast cancer. For patients undergoing breast mastectomy and reconstruction with tissue expanders, paravertebral blocks offer an anesthetic alternative when general anesthesia is not desired.
authors.affiliation: Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Christopher Allen-John
authors.initials: CA
authors.lastname: Webb
authors.affiliation: Department of Anesthesia & Perioperative Care, San Francisco School of Medicine, University of California, San Francisco, CA, USA.
authors.forename: Paul David
authors.initials: PD
authors.lastname: Weyker
authors.affiliation: Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Shara
authors.initials: S
authors.lastname: Cohn
authors.affiliation: Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Wheeler
authors.affiliation: Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lee