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All Journal Journal of Anaesthesia and Pain
Hanifa Agung Kurniawan
1Departement of Anesthesiology Intensive Therapy and Pain Management, Dr. Soehadi Prijonegoro Hospital, Indonesia
Health Professions Medicine & Pharmacology

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Thoracic Spinal Anaesthesia for Modified Radical Mastectomy (MRM) Derajad Bayu Atmawan; Hanifa Agung Kurniawan; Priyambada Priyambada
Journal of Anaesthesia and Pain Vol 3, No 1 (2022): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2022.003.01.01

Abstract

Background: Breast cancer mostly affects patients older than 65 years old. Geriatric patients may have comorbidities so the selection of anaesthesia for breast cancer surgery is challenging. In the past decade, thoracic spinal anaesthesia as regional anaesthesia was feasibly performed for laparoscopic cholecystectomy and minor breast surgery. This article aims to evaluate thoracal spinal anaesthesia for Modified Radical Mastectomy (MRM) in our hospital settings.Case: Three cases of Thoracal Spinal Anaesthesia were carried out for MRM surgery after neoadjuvant chemotherapy treatment. This procedure consists of removal of breast tissue and the ipsilateral axillary contents. The comorbidities include hypertension, cardiomegaly, and mild anaemia. There was no conversion to general anaesthesia during surgery until completion. Duration for surgery less than 120 minutes.  No significant hemodynamic instability and complaint were found during intra and postoperative. Conclusion: From these cases, thoracal spinal anaesthesia was acceptable as regional anaesthesia for MRM in geriatric patient.
Co-Authors Derajad Bayu Atmawan Priyambada Priyambada