{"id":"https://openalex.org/W2808035851","doi":"https://doi.org/10.1111/anae.14317","title":"Regional anaesthesia as the principle technique in breast surgery","display_name":"Regional anaesthesia as the principle technique in breast surgery","publication_year":2018,"publication_date":"2018-06-11","ids":{"openalex":"https://openalex.org/W2808035851","doi":"https://doi.org/10.1111/anae.14317","mag":"2808035851","pmid":"https://pubmed.ncbi.nlm.nih.gov/29889997"},"language":"en","primary_location":{"id":"doi:10.1111/anae.14317","doi":"https://doi.org/10.1111/anae.14317","is_oa":false,"landing_page_url":"https://doi.org/10.1111/anae.14317","pdf_url":null,"source":{"id":"https://openalex.org/S7689096","display_name":"Anaesthesia","issn_l":"0003-2409","issn":["0003-2409","1365-2044"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia","raw_type":"journal-article"},"volume":null,"type":"letter","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088122934","display_name":"Aravind V. Ramesh","orcid":"https://orcid.org/0000-0001-8302-7097","observed_orcids":["https://orcid.org/0000-0001-8302-7097"]},"institutions":[{"id":"https://openalex.org/I2801253297","display_name":"Southmead Hospital","ror":"https://ror.org/05d576879","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801253297","https://openalex.org/I4405276282"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"A. Ramesh","raw_affiliation_strings":["Southmead Hospital, Bristol, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southmead Hospital, Bristol, UK","institution_ids":["https://openalex.org/I2801253297"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066970964","display_name":"A. Carey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801253297","display_name":"Southmead Hospital","ror":"https://ror.org/05d576879","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801253297","https://openalex.org/I4405276282"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"A. Carey","raw_affiliation_strings":["Southmead Hospital, Bristol, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southmead Hospital, Bristol, UK","institution_ids":["https://openalex.org/I2801253297"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5088122934"],"corresponding_institution_ids":["https://openalex.org/I2801253297"],"apc_list":{"value":4970,"currency":"USD","value_usd":4970},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"73","issue":"7","first_page":"905","last_page":"906"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12626","display_name":"Cancer, Stress, Anesthesia, and Immune Response","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/regional-anesthesia","display_name":"regional anesthesia","score":0.8880000114440918},{"id":"https://openalex.org/keywords/breast-cancer-surgery","display_name":"breast cancer surgery","score":0.8960000276565552},{"id":"https://openalex.org/keywords/paravertebral-block","display_name":"paravertebral block","score":0.8640000224113464},{"id":"https://openalex.org/keywords/pectoral-nerve-block","display_name":"pectoral nerve block","score":0.9890000224113464},{"id":"https://openalex.org/keywords/levobupivacaine","display_name":"levobupivacaine","score":0.8859999775886536},{"id":"https://openalex.org/keywords/lidocaine","display_name":"lidocaine","score":0.6600000262260437},{"id":"https://openalex.org/keywords/opioid-sparing","display_name":"opioid sparing","score":0.6330000162124634},{"id":"https://openalex.org/keywords/patient-acceptability","display_name":"patient acceptability","score":0.6029999852180481},{"id":"https://openalex.org/keywords/conversion-to-general-anesthesia","display_name":"conversion to general anesthesia","score":0.7170000076293945},{"id":"https://openalex.org/keywords/local-infiltration-anesthesia","display_name":"local infiltration anesthesia","score":0.6230000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9203282594680786},{"id":"https://openalex.org/C2781072394","wikidata":"https://www.wikidata.org/wiki/Q407541","display_name":"Fentanyl","level":2,"score":0.5592811107635498},{"id":"https://openalex.org/C2780149897","wikidata":"https://www.wikidata.org/wiki/Q216935","display_name":"Lidocaine","level":2,"score":0.5544994473457336},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5534887909889221},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.5373702049255371},{"id":"https://openalex.org/C2777704003","wikidata":"https://www.wikidata.org/wiki/Q4959802","display_name":"Breast surgery","level":4,"score":0.49651437997817993},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.43529897928237915},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.4344606101512909},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4141852855682373},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.18999236822128296},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000765","descriptor_name":"Anesthesia, Conduction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008408","descriptor_name":"Mastectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013900","descriptor_name":"Thoracic Nerves","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/anae.14317","doi":"https://doi.org/10.1111/anae.14317","is_oa":false,"landing_page_url":"https://doi.org/10.1111/anae.14317","pdf_url":null,"source":{"id":"https://openalex.org/S7689096","display_name":"Anaesthesia","issn_l":"0003-2409","issn":["0003-2409","1365-2044"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia","raw_type":"journal-article"},{"id":"pmid:29889997","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29889997","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anaesthesia","raw_type":"Letter"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G5918401021","display_name":null,"funder_award_id":"ACF-2017-25-005","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W2782732334"],"related_works":["https://openalex.org/W4415722558","https://openalex.org/W2782732334","https://openalex.org/W2808150777","https://openalex.org/W3202993558","https://openalex.org/W7134915978","https://openalex.org/W2099522296","https://openalex.org/W4396589219","https://openalex.org/W2282545124","https://openalex.org/W3200354388","https://openalex.org/W2790343484"],"abstract_inverted_index":{"We":[0,116,135,437],"thank":[1],"Pawa":[2,83,236],"et":[3,84,237],"al.":[4,85],"for":[5,22,48,163,221,277,293,303,361,433,451],"publishing":[6],"their":[7,49,278],"experience":[8],"of":[9,35,64,78,93,106,148,155,184,192,208,233,243,252,270,295,305,353,368,395,443],"using":[10],"combined":[11],"paravertebral":[12,396],"and":[13,43,174,177,249,332,334,343,364,413],"pectoral":[14],"nerve":[15],"blocks":[16,400],"as":[17,37,151,288,307,414,453],"the":[18,33,58,62,65,94,99,104,143,156,190,205,234,241,258,274,308,330,347,351,393,403,440,454],"principal":[19],"anaesthetic":[20,96,210,359,372,378,456],"technique":[21,42,97,129,144,285,360],"breast":[23,167,331],"surgery":[24,169,363],"1.":[25],"The":[26,284],"article":[27],"provides":[28],"an":[29,266,415],"important":[30,324],"insight":[31],"into":[32],"feasibility":[34],"this":[36,124,128,254,335],"a":[38,90,171,181,197,200,230,263,357,431,449],"general":[39],"anaesthesia":[40],"(GA)-sparing":[41],"we":[44,178,299,391],"would":[45,120,140,255,300],"be":[46,69,301,337,386],"grateful":[47,302],"further":[50,369],"comment":[51],"on":[52,98,356],"some":[53],"apparent":[54],"limitations.":[55],"As":[56,314],"described,":[57,315],"operating":[59,66],"surgeon":[60],"considered":[61,160],"quality":[63],"conditions":[67],"to":[68,74,123,227,326,385,401,417,447],"\u2018slightly":[70],"challenging/adequate\u2019":[71],"i.e.":[72],"inferior":[73],"GA":[75,107,131,228,382,418,452],"in":[76,109,132,262,419],"4":[77],"15":[79],"completed":[80],"cases.":[81],"Could":[82],"specify":[86,312],"why?":[87],"Was":[88],"there":[89],"disruptive":[91],"effect":[92],"local":[95,209,371,377],"surgical":[100,370],"field":[101],"or":[102,113],"did":[103,310],"omission":[105],"manifest":[108],"patient":[110,185,264],"movement,":[111],"coughing":[112],"inadequate":[114],"relaxation?":[115],"suspect":[117],"that":[118,318,365,421,439],"patients":[119,139,195,215,294,444],"attach":[121],"significance":[122],"finding":[125],"when":[126],"contemplating":[127],"vs.":[130],"cancer":[133,168],"surgery.":[134],"question":[136],"whether":[137,180],"all":[138,152],"indeed":[141],"choose":[142],"again":[145],"if":[146],"informed":[147],"this,":[149],"particularly":[150],"but":[153,298],"two":[154],"cohort":[157,279],"were":[158],"not":[159,311],"high":[161,424],"risk":[162],"GA.":[164],"In":[165],"addition,":[166],"is":[170,187,204,286,317,428],"highly":[172],"emotive":[173],"anxiety-provoking":[175],"proposition":[176],"wonder":[179],"better":[182],"reflection":[183],"acceptability":[186],"suggested":[188],"by":[189,339,430],"recruitment":[191],"only":[193],"16":[194],"over":[196],"period":[198],"exceeding":[199],"year.":[201],"Another":[202],"limitation":[203],"large":[206],"doses":[207],"used,":[211],"despite":[212],"which":[213],"11":[214],"still":[216],"required":[217],"intravenous":[218],"(i.v.)":[219],"fentanyl":[220],"intra-operative":[222],"discomfort":[223],"(and":[224],"one":[225],"converted":[226],"after":[229],"failed":[231],"modification":[232],"technique).":[235],"al.'s":[238],"description":[239],"details":[240],"administration":[242],"500":[244],"mg":[245,251],"lidocaine":[246],"(with":[247],"adrenaline)":[248],"125":[250],"levobupivacaine;":[253],"arguably":[256],"exceed":[257],"maximal":[259],"recommended":[260],"dose":[261,379],"with":[265],"actual":[267],"body":[268],"weight":[269],"130":[271],"kg,":[272],"yet":[273],"mean":[275],"(SD)":[276],"was":[280],"73":[281],"(17)":[282],"kg.":[283],"described":[287],"being":[289],"\u201c\u2026":[290],"modified":[291],"accordingly":[292],"lower":[296],"weight\u201d":[297],"clarification":[304],"how,":[306],"authors":[309],"further.":[313],"however,":[316],"multiple":[319],"distinct":[320],"nerves":[321],"may":[322,336],"provide":[323],"innervation":[325,345],"operative":[327],"sites":[328],"involving":[329],"axilla":[333],"complicated":[338],"significant":[340],"inter-patient":[341],"variation":[342],"contralateral":[344],"across":[346],"midline.":[348],"This":[349],"illustrates":[350],"difficulty":[352],"relying":[354],"principally":[355],"regional":[358],"such":[362],"contingency":[366],"options":[367],"infiltration,":[373],"whilst":[374],"remaining":[375],"within":[376],"limits,":[380],"and/or":[381,397],"conversion":[383],"need":[384],"anticipated.":[387],"Within":[388],"our":[389],"institution,":[390],"encourage":[392],"use":[394],"myofascial":[398],"plane":[399],"achieve":[402],"fundamental":[404],"stated":[405],"aims:":[406],"improve":[407],"analgesia;":[408],"opioid":[409],"spare;":[410],"enhance":[411],"recovery;":[412],"alternative":[416],"those":[420],"are":[422],"genuinely":[423],"risk.":[425],"Volatile":[426],"avoidance":[427],"facilitated":[429],"preference":[432,450],"total":[434],"i.v.":[435],"anaesthesia.":[436],"anticipate":[438],"overwhelming":[441],"majority":[442],"will":[445],"continue":[446],"express":[448],"principle":[455],"technique.":[457]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-06-21T00:00:00"}