EARLY EXPERIENCE WITH HIGH THORACIC EPIDURAL-ANESTHESIA IN OUTPATIENT SUBMUSCULAR BREAST AUGMENTATION

被引：16

作者：

NESMITH, RL ^{[1
]}

HERRING, SH ^{[1
]}

MARKS, MW ^{[1
]}

SPEIGHT, KL ^{[1
]}

EFIRD, RC ^{[1
]}

RAUCK, RL ^{[1
]}

机构：

[1] WAKE FOREST UNIV,BOWMAN GRAY SCH MED,MED CTR,DEPT ANESTHESIA,WINSTON SALEM,NC 27103

来源：

ANNALS OF PLASTIC SURGERY | 1990年 / 24卷 / 04期

关键词：

D O I：

10.1097/00000637-199004000-00001

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

High thoracic epidural anesthesia was administered by anesthetists in 20 patients undergoing submuscular breast augmentation. An average of 12 ml of 2% lidocaine was instilled after sedation with midazolam, 2-6 mg. The augmentation procedure averaged 90 minutes. In 3 patients, the block developed more rapidly on one side than the other, but soon becamse symmetrical in all; additional subcutaneous infiltration of lidocaine was necessary in 1 patient because of infraclavicular pain; ephedrine, 10 mg was needed in 2 patients to treat hypotension (>20% decrease in blood pressure). Three patients felt infraclavicular pressure; 1 had a brief sensation of breathlessness; 3 had nasal stuffiness from Horner's syndrome associated with the block; none developed headache, back pain, or paresthesias; and 3 had postoperative nausea. The average time from the end of the procedure to patient discharge was 96 minutes. In this limited series, high thoracic epidural anesthesia for submuscular breast augmentation was extremely satisfactory.

引用

页码：299 / 303

页数：5

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