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Breast Disease pp 499–513Cite as

Anesthetic Considerations for the Patient with Breast Disease

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Abstract

Anesthetic management of the breast surgical patient has an important effect on patient outcome. The immediate effects can be seen with the prevention of complications such as anesthetic-associated nausea and vomiting and control of postoperative pain. The long-term effects may translate into the possible decreased risk of a breast cancer recurrence and even reduced possibility of developing distant metastases. Newer techniques for intraoperative management, including paravertebral blocks and thoracic epidurals, influence both immediate and long-term outcomes that increase patient satisfaction and prognosis.

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Abbreviations

BMI:

Body mass index

COX-2:

Cyclooxygenase-2

CPAP:

Continuous positive airway pressure

CPET:

Cardiac pulmonary exercise testing

ECHO:

Echocardiograph

EKG:

Electrocardiograph

EMLA:

Eutectic mixture of local anesthetic

HIF:

Hypoxia-inducible factor

NK:

Natural killer

OSA:

Obstructive sleep apnea

PONV:

Postoperative nausea and vomiting

SPWC:

Surgically placed wound catheters

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Authors and Affiliations

  1. Department of Anesthesia, Advocate Christ Medical Center, University of Illinois College of Medicine at Chicago, 4440 West 95th Street, Oak Lawn, IL, 60453-2600, USA

    Maria A. Kimovec MD & Akram Abdoue MD

  2. Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, Johns Hopkins University School of Medicine, 1800 Orleans St., Baltimore, MD, 21287, USA

    Rebecca Grutsch MD

Authors
  1. Maria A. Kimovec MD
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  2. Akram Abdoue MD
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  3. Rebecca Grutsch MD
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Corresponding author

Correspondence to Maria A. Kimovec MD .

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Editors and Affiliations

  1. Advocate Center for Breast Health, Advocate Cancer Institute, Oak Lawn, Illinois, USA

    Adam I. Riker

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Kimovec, M.A., Abdoue, A., Grutsch, R. (2015). Anesthetic Considerations for the Patient with Breast Disease. In: Riker, A. (eds) Breast Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1145-5_31

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