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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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PEARLS

Owing to the understandable anxiety that often accompanies breast surgery, patients should understand before undertaking this anesthetic approach that heavy sedation is most often appropriate in combination with the breast block. Likewise, in some patients the desire to maintain a “sense of control” during reconstructive or augmentation breast surgery makes them ideal candidates for a technique in which the loss of control associated with general anesthesia is avoided. Finally, a thoracic paravertebral block (see Chapter 37 ) can be used effectively in place of the intercostal portion of this nerve block.

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