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P129 Exploring the impact of locoregional anaesthesia on lumpectomies: preliminary data from a tertiary hospital
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P129 Exploring the impact of locoregional anaesthesia on lumpectomies: preliminary data from a tertiary hospital
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Journal Article
P129 Exploring the impact of locoregional anaesthesia on lumpectomies: preliminary data from a tertiary hospital
2025
Overview
Background and AimsGiven the rising global demand for breast cancer surgery, Hospital del Mar is testing a new care circuit for breast-conserving surgery using local or regional anaesthesia with sedation as an alternative to general anaesthesia. If successful, this approach may reduce time in the operating theatre and the post-anaesthetic care unit (PACU). This case series aims to describe our initial experience and assess patient and professional tolerance and satisfaction.MethodsWe report a prospective case series of five patients undergoing lumpectomy under regional or local anaesthesia with minimal to moderate sedation. Three received deep serratus anterior plane block (d-SAPB) and pecto-intercostal fascial plane block (PIFP), one received d-SAPB plus local infiltration, and one underwent local infiltration only.ResultsIn this case series, no patients required conversion to general anesthesia, and none reported postoperative pain above 3 on the visual numeric scale. Eighty percent were discharged the same day; the rest were admitted for social reasons. At the two-month follow-up, four out of five reported high satisfaction (measured by the EVAN-LR questionnaire) and expressed willingness to repeat the procedure under the same conditions. One patient did not, due to vomiting that was resolved with medication. The surgical team rated the experience positively, with no technical issues or complications.Abstract P129 Table 1Outcome of patients undergoing lumpectomy under locoregional anaesthesia.ConclusionsThis five-case series demonstrates the safety, efficacy, and patient tolerance of a locoregional anaesthesia-sedation circuit for breast-conserving surgery. Its use may improve resource efficiency, enhance the patient‘s experience, and has been positively evaluated by the medical team.
Publisher
BMJ Publishing Group LTD
Subject
