bandage-green

Gender-Affirming Chest Surgery

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Sitting / Beach Chair, arms extended
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Not needed for a subcutaneous mastectomy; useful while an implant is placed under the pectoralis.
Blocks : PEC I, PEC II
Considerations : PONV

Anesthetic Approaches

1GETT
2GETT, TIVA
3GLMA
The Surgery

Marking with the patient upright - the new nipple position and the incision lines are drawn standing or sitting in the holding area, because they cannot be judged accurately once the patient is...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?