TY - JOUR
T1 - Multimodal Analgesia in Breast Surgical Procedures
T2 - Technical and Pharmacological Considerations for Liposomal Bupivacaine Use
AU - Afonso, Anoushka M.
AU - Newman, Martin I.
AU - Seeley, Neil
AU - Hutchins, Jacob
AU - Smith, Kevin L.
AU - Mena, Gabriel
AU - Selber, Jesse C.
AU - Saint-Cyr, Michel H.
AU - Gadsden, Jeffrey C.
N1 - Publisher Copyright:
© 2017 The Authors.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85032444897&partnerID=8YFLogxK
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U2 - 10.1097/GOX.0000000000001480
DO - 10.1097/GOX.0000000000001480
M3 - Article
C2 - 29062649
AN - SCOPUS:85032444897
SN - 2169-7574
VL - 5
JO - Plastic and Reconstructive Surgery - Global Open
JF - Plastic and Reconstructive Surgery - Global Open
IS - 9
M1 - e1480
ER -