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Breast Surgery 

Breast Surgery
Breast Surgery
Acute Pain Medicine

Richa Wardhan

, and Roy Greengrass


Breast surgery is commonly performed under general anesthesia. Opioids are often utilized for pain management. Regional anesthesia is superior to opioids in many ways, and opioids are best avoided in patients with cancer due to their immunosuppressant effect. Regional anesthesia can be effectively utilized not only as postoperative pain management but also as intraoperative anesthesia. This chapter discusses anatomic considerations to analgesia in breast surgery, detailing the innervation of the breast and the chest wall. It also discusses techniques for providing surgical anesthesia and postoperative analgesia, focusing on the various regional nerve blocks that are available to achieve anesthesia and analgesia of the breast and the chest wall.

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