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Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use

Enhanced recovery after surgery is a multidisciplinary perioperative clinical pathway that uses evidence-based interventions to improve the patient experience as well as increase satisfaction, reduce costs, mitigate the surgical stress response, accelerate functional recovery, and decrease periopera...

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Autores principales: Afonso, Anoushka M., Newman, Martin I., Seeley, Neil, Hutchins, Jacob, Smith, Kevin L., Mena, Gabriel, Selber, Jesse C., Saint-Cyr, Michel H., Gadsden, Jeffrey C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640354/
https://www.ncbi.nlm.nih.gov/pubmed/29062649
http://dx.doi.org/10.1097/GOX.0000000000001480
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author Afonso, Anoushka M.
Newman, Martin I.
Seeley, Neil
Hutchins, Jacob
Smith, Kevin L.
Mena, Gabriel
Selber, Jesse C.
Saint-Cyr, Michel H.
Gadsden, Jeffrey C.
author_facet Afonso, Anoushka M.
Newman, Martin I.
Seeley, Neil
Hutchins, Jacob
Smith, Kevin L.
Mena, Gabriel
Selber, Jesse C.
Saint-Cyr, Michel H.
Gadsden, Jeffrey C.
author_sort Afonso, Anoushka M.
collection PubMed
description Enhanced recovery after surgery is a multidisciplinary perioperative clinical pathway that uses evidence-based interventions to improve the patient experience as well as increase satisfaction, reduce costs, mitigate the surgical stress response, accelerate functional recovery, and decrease perioperative complications. One of the most important elements of enhanced recovery pathways is multimodal pain management. Herein, aspects relating to multimodal analgesia following breast surgical procedures are discussed with the understanding that treatment decisions should be individualized and guided by sound clinical judgment. A review of liposomal bupivacaine, a prolonged-release formulation of bupivacaine, in the management of postoperative pain following breast surgical procedures is presented, and technical guidance regarding optimal administration of liposomal bupivacaine is provided.
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spelling pubmed-56403542017-10-23 Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use Afonso, Anoushka M. Newman, Martin I. Seeley, Neil Hutchins, Jacob Smith, Kevin L. Mena, Gabriel Selber, Jesse C. Saint-Cyr, Michel H. Gadsden, Jeffrey C. Plast Reconstr Surg Glob Open Special Topic Enhanced recovery after surgery is a multidisciplinary perioperative clinical pathway that uses evidence-based interventions to improve the patient experience as well as increase satisfaction, reduce costs, mitigate the surgical stress response, accelerate functional recovery, and decrease perioperative complications. One of the most important elements of enhanced recovery pathways is multimodal pain management. Herein, aspects relating to multimodal analgesia following breast surgical procedures are discussed with the understanding that treatment decisions should be individualized and guided by sound clinical judgment. A review of liposomal bupivacaine, a prolonged-release formulation of bupivacaine, in the management of postoperative pain following breast surgical procedures is presented, and technical guidance regarding optimal administration of liposomal bupivacaine is provided. Wolters Kluwer Health 2017-09-15 /pmc/articles/PMC5640354/ /pubmed/29062649 http://dx.doi.org/10.1097/GOX.0000000000001480 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Special Topic
Afonso, Anoushka M.
Newman, Martin I.
Seeley, Neil
Hutchins, Jacob
Smith, Kevin L.
Mena, Gabriel
Selber, Jesse C.
Saint-Cyr, Michel H.
Gadsden, Jeffrey C.
Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title_full Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title_fullStr Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title_full_unstemmed Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title_short Multimodal Analgesia in Breast Surgical Procedures: Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
title_sort multimodal analgesia in breast surgical procedures: technical and pharmacological considerations for liposomal bupivacaine use
topic Special Topic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640354/
https://www.ncbi.nlm.nih.gov/pubmed/29062649
http://dx.doi.org/10.1097/GOX.0000000000001480
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