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Implant-Based Breast Reconstruction and Tissue Expansion

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Semi-Fowlers, arms extended, one arm extended, Bed turned 90 degrees
Time : 2-4 hours (long)
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

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

Booking - This is almost always the second half of one anesthetic. The oncologic surgeon does the mastectomy first, with sentinel node biopsy or axillary dissection where indicated, then the plastic...

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