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VOLUME 5 , ISSUE 1 ( January-March, 2022 ) > List of Articles


Why Not Thoracic Epidural Anesthesia in Modified Radical Mastectomy?! A Case Report

GG Sangeetha, S Vijay Narayanan

Keywords : Epidural analgesia, Modified radical mastectomy, Ropivacaine, Thoracic epidural anesthesia

Citation Information : Sangeetha G, Narayanan SV. Why Not Thoracic Epidural Anesthesia in Modified Radical Mastectomy?! A Case Report. 2022; 5 (1):13-14.

DOI: 10.5005/jp-journals-10082-03138

License: CC BY-NC 4.0

Published Online: 04-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Thoracic epidural anesthesia (TEA) is a forthcoming alternative to general anesthesia for modified radical mastectomy. A 49-year-old female who is a known case of chronic obstructive pulmonary disease/diabetes mellitus/hypertension and body mass index of 35.8—OBESE II (which makes regional anesthesia challenging) with a diagnosis of right CA breast posted for modified radical mastectomy (MRM). The case was planned only under TEA. The patient was induced with a loading dose of 15 mL of 0.5% ropivacaine at the T4–T5 level. The patient was comfortable throughout the procedure and uneventful. The patient was discharged on the 5th postoperative day. TEA provides advantages of superior postoperative analgesia without adverse effects of general anesthesia (GA) like nausea and vomiting. TEA enhanced patients’ compliance with chest physiotherapy.

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