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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 26-28
Intrathecal block for breast augmentation surgery in poland’s syndrome: A case report
Abhirup Samanta1, Shama Shikalgar2, Prashant Lomate3
1IInd Year PG, 2Professor, 3Assistant Professor, Department of Anaesthesia, Bharti Vidyapeeth University Medical College and Hospital, Sangli, Maharashtra, INDIA.
Breast augmentation is an increasing popular day case procedure. Local infiltration anaesthesia with sedation is routinely used for it’s ease of application as compared to more complex and potentially riskier intrathecal block. We hypothesized that intrathecal isobaric ropivacaine by experienced anaesthetist was more effective than local anaesthesia with sedation, in view of adequate sensory blockade. Intrathecal Isobaric ropivacaine which is less cardiotoxic produces more sensory blockade over motor blockade as compare to intrathecal hyperbaric bupivacaine which is most popular anaesthetic drug for spinal anaesthesia. Moreover ropivacaine needs less dose and does not require head low position to achieve higher level of blockade as compare to bupivacaine since it is isobaric in nature. we present a case of unilateral breast augmentation of a women, successfully performed by the application of intrathecal block without any complication.