Thoracic Combined Spinal Epidural Anesthesia for Breast Surgery

Segmental High Thoracic Combined Spinal Epidural Anesthesia for Breast Surgery

The aim of the study is to investigate the efficacy of the thoracic combined spinal epidural anesthesia in breast surgery.

Previous studies of the regional anesthetic techniques such as erector spinae plane block and pectoralis nerve blocks (PECs blocks) additional to general anesthesia have described their use for postoperative analgesia in breast surgery. It has been also reported that these blocks can be used to provide surgical anesthesia in breast surgery . Segmental thoracic epidural anesthesia can be used as an alternative anesthetic technique in patients with severe chronic obstructive pulmonary disease and asthma undergoing breast surgery. It has been also reported that thoracic spinal anesthesia was effective and successful in patients undergoing laparoscopic surgery. In this study, efficacy of high thoracic spinal epidural anesthesia in patients undergoing breast surgery will be evaluated.

Inclusion Criteria:

• Patients who will be to undergo elective surgery for breast surgery
• American Society of Anesthesiologists (ASA) physical status classification groups I or II

Exclusion Criteria:

• body mass index>35 kg/m2,
• presence of any condition complicating and contraindicating spinal epidural anesthesia.