Combined usage of intercostal nerve block and tumescent anaesthesia

An effective anaesthesia technique for breast augmentation

Yusuke Shimizu, Tomohisa Nagasao, Hiroko Taneda, Yoshiaki Sakamoto, Toru Asou, Nobuaki Imanishi, Kazuo Kishi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Patients are occasionally unhappy with the size, shape, and positioning of breast implants. An option to improve their satisfaction with breast augmentation includes directly involving them in the process with awake surgery done under nerve block and tumescence. This study describes the resultsof using such an awake anaesthesia technique in 35 patients. After the intercostal nerves dominating the Th3 to Th6 regions were anaesthetized using 0.5% bupivacaine, a tumescent solution consisting of lidocaine, epinephrine, and saline was injected around the mammary gland, and breast augmentation was conducted using silicon implants. The majority of patients (31/35) reported no pain during the procedure and all patients were able to choose and confirm their final implant size and positioning. In all cases, blood loss was less than 10 ml. No patient experienced pneumothorax or toxicity of local anaesthetics. Combined usage of the intercostal nerve block and tumescent anaesthesia effectively reduces pain during breast augmentation. Keeping patient conscious enables meeting their requests during operation, contributing to increased satisfaction. For these advantages, combined usage of the intercostal nerve block and tumescent anaesthesia is recommended as a useful anaesthetic technique for breast augmentation.

Original languageEnglish
Pages (from-to)51-55
Number of pages5
JournalJournal of Plastic Surgery and Hand Surgery
Volume48
Issue number1
DOIs
Publication statusPublished - 2014 Feb

Fingerprint

Intercostal Nerves
Nerve Block
Breast
Anesthesia
Mastodynia
Breast Implants
Bupivacaine
Silicon
Pneumothorax
Human Mammary Glands
Lidocaine
Local Anesthetics
Epinephrine
Anesthetics
Pain

Keywords

  • Implants
  • Plastic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Combined usage of intercostal nerve block and tumescent anaesthesia : An effective anaesthesia technique for breast augmentation. / Shimizu, Yusuke; Nagasao, Tomohisa; Taneda, Hiroko; Sakamoto, Yoshiaki; Asou, Toru; Imanishi, Nobuaki; Kishi, Kazuo.

In: Journal of Plastic Surgery and Hand Surgery, Vol. 48, No. 1, 02.2014, p. 51-55.

Research output: Contribution to journalArticle

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