Breast Wide Local Excision

General Anaesthesia Regional AnaesthesiaDuration1 - 1.5 hoursUpdatedJun 2026

RemifentanilTCI, Cet 4-5ng/ml
Propofol2.5mg/kg
AirwayLMAiGel

RegionalSerratus Anterior

2 x 20ml syringes

Each has 0.75% ropivacaine10ml + 0.9% saline10ml

Use approx 30ml in block

Maintenance

PropofolTCI
RemifentanilTCI

Analgesia

Paracetamol1g
Diclofenac75mg
Fentanyl100mg
Magnesium Sulphate2.5g in 100ml saline

Anti-emetics

Ondansetron4mg

For reference only. Always check doses against the BNF and your local protocols, and adapt to the patient in front of you. Gas Cookbook is community-shared guidance, not medical advice; clinical responsibility stays with you.

Block

Serratus Anterior

Technique

TIVA

By Jeremy Chui

Dexamethasone

3.3mg

Other

Antibiotics as required

Induction

Block

Intra-op