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Continuous thoracic epidural anesthesia for breast augmentation

C S Lai1, W H Yip, S D Lin

  • 1Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.

Annals of Plastic Surgery
|February 1, 1996
PubMed
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Thoracic epidural anesthesia offers a safe and effective option for submuscular breast augmentation, demonstrating good pain control and minimal respiratory impact. This technique proves superior to traditional methods for this procedure.

Area of Science:

  • Anesthesiology
  • Plastic Surgery

Background:

  • Submuscular breast augmentation is a common cosmetic procedure.
  • Anesthesia choice impacts patient outcomes and safety.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of continuous thoracic epidural anesthesia for submuscular breast augmentation.
  • To assess perioperative respiratory function, hemodynamic stability, and patient comfort.

Main Methods:

  • Thirty consecutive patients underwent submuscular breast augmentation under thoracic epidural anesthesia.
  • Lidocaine with epinephrine was used as the primary anesthetic agent.
  • Continuous monitoring of respiratory and hemodynamic parameters was performed.

Main Results:

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  • No significant respiratory compromise was observed.
  • Transient elevations in blood pressure and heart rate were noted.
  • Effective postoperative pain management was achieved via the epidural catheter.
  • Common side effects included shivering, stuffy nose, nausea, and shortness of breath, which were manageable.

    • Conclusions:

    • Continuous thoracic epidural anesthesia is a feasible and effective anesthetic technique for submuscular breast augmentation.
    • It provides excellent pain control and appears to be a favorable alternative to conventional anesthetic methods.
    • The technique demonstrated a good safety profile with manageable perioperative complications.