MAC or General
LMA/ETT if GA
|Lines and access||
|Primary anesthetic considerations|
A breast lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.
Sometimes the procedure is performed with wire localization, where a radiologist inserts the tip of a wire into the target tissue under fluoroscopic guidance preoperatively. This enables the surgeon to more precisely localize the lesion, and is more commonly performed for deeper lesions.
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Monitoring and access
- PIV x 1
- Place BP cuff off the surgical field
- Make sure EKG leads are not near the sterile field
Induction and airway management
- Arms out
Maintenance and surgical considerations
- Consider TIVA or partial TIVA, due to higher risk of PONV (patient population tends to be older females, who are at higher risk of PONV) and faster emergence.
|Unique considerations||More likely MAC||More likely GA|
|Surgical time||15-45 mins||30-60 mins|