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Review
. 2018 Nov;18(11):342-348.
doi: 10.1016/j.bjae.2018.08.002. Epub 2018 Sep 27.

Anaesthesia for breast surgery

A Sherwin  1 , D J Buggy  1   2
Affiliations
Review

Anaesthesia for breast surgery

A Sherwin et al. BJA Educ. 2018 Nov.
No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig 1
Fig 1
Pectoral nerve block I. Local anaesthetic is deposited in the plane between the pectoralis major and minor muscles at the level of the third rib in the area indicated. LA, local anaesthetic; PM, pectoralis major; Pm, pectoralis minor.
Fig 2
Fig 2
Pectoral nerve block II. Local anaesthetic is deposited in the plane between pectoralis minor and serratus anterior muscles in the area indicated. LA, local anaesthetic; NS, needle shaft; Pm, pectoralis minor; R4, rib 4.
Fig 3
Fig 3
Serratus anterior plane block. Local anaesthetic should be deposited deep to latissimus dorsi and superficial to serratus anterior muscles in the mid-axillary area at the level of the fourth or fifth rib. LD, latissimus dorsi; NP, needle point; R5, rib 5; SA, serratus anterior.
Fig 4
Fig 4
Transversus thoracic plane block. Local anaesthetic should be deposited in the plane between the transversus thoracis muscle and the internal intercostal muscle at the level of the fourth or fifth rib. IC, internal intercostal muscle; Pl, pleural; R4, rib 4; R5, rib 5; TT, transversus thoracis muscle.
See this image and copyright information in PMC

References

    1. McLaughlin S.A. Surgical management of the breast: breast conservation therapy and mastectomy. Surg Clin North Am. 2013;93:411–428. - PubMed
    1. Petit J.Y., Rietjens M., Lohsiriwat V. Update on breast reconstruction techniques and indications. World J Surg. 2012;36:1486–1497. - PubMed
    1. Motomura K. Sentinel node biopsy for breast cancer: past, present, and future. Breast Cancer. 2015;22:212–220. - PubMed
    1. White V., Harvey J.R., Griffith C.D., Youssef M., Carr M. Sentinel lymph node biopsy in early breast cancer surgery—working with the risks of vital blue dye to reap the benefits. Eur J Surg Oncol. 2011;37:101–108. - PubMed
    1. Farooq S. 2018. Anaesthesia, surgery and life-threatening allergic reactions.http://www.nationalauditprojects.org.uk/NAP6Report#pt Available from: