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Breast Implant Surgery (Augmentation / Exchange / Removal)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Sitting / Beach Chair, arms at side on armboards, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Ask Surgeon
Blocks : PEC I, PEC II
Considerations : PONV

Anesthetic Approaches

1GLMA, Local Anesthetic
2GETT, TIVA, Propofol Drip
3GETT, Nerve Block
The Surgery

Marking and planning - The patient is marked sitting upright in the holding area, because implant position, the inframammary fold, and any concurrent lift are all judged against gravity. Implant type...

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