CASE REPORT

General anesthesia combined with thoracic epidural anesthesia: an anesthesia technique option in modified radical mastectomy

I Gusti Ayu Eka Para Santi Sidemen, Tjokorda Gde Agung Senapathi, I Made Gede Widnyana, I Gusti Ngurah Mahaalit Aribawa, Christopher Ryalino

I Gusti Ayu Eka Para Santi Sidemen
Departemen Anestesi dan Terapi Intensif FK UNUD - RSUP Sanglah

Tjokorda Gde Agung Senapathi
Udayana University

I Made Gede Widnyana


I Gusti Ngurah Mahaalit Aribawa


Christopher Ryalino
. Email: ryalino@gmail.com
Online First: July 09, 2019 | Cite this Article
Sidemen, I., Senapathi, T., Widnyana, I., Aribawa, I., Ryalino, C. 2019. General anesthesia combined with thoracic epidural anesthesia: an anesthesia technique option in modified radical mastectomy. Bali Journal of Anesthesiology 3. DOI:10.15562/bjoa.v3i0.128


The incidence of breast cancer has been increasing, and currently, it is the most common cancer in females. Surgery is the primary treatment, and the current tendency is toward less extensive procedure with axillary dissection for removal of lymph nodes to guide further treatment, in this case, the method called modified radical mastectomy (MRM).  The anesthetic technique for MRM should provide adequate intraoperative anesthesia, muscle relaxation, and postoperative analgesia without collateral effects, nausea, and vomiting with the minimum hospitalization time. In this report, we present a case of a woman who underwent MRM under general anesthesia combined with thoracic epidural anesthesia.

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