Breast lumpectomy
Anesthesia type

GA vs. MAC

Airway

LMA for GA

Lines and access

PIV

Monitors

Standard

Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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A lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular
Respiratory
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

  • PIV x 1
  • Place BP cuff office the surgical field
  • Make sure EKG leads are not near the sterile field

Induction and airway management

Positioning

  • Supine

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References