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Enhanced Recovery for Breast Reconstruction Surgery

  • Amir Elhassan
  • Ahmed Ahmed
  • Hamdy Awad
  • Michelle Humeidan
  • Richard D. Urman
  • Carmen L. Labrie-Brown
  • Elyse M. Cornett
  • Alan David KayeEmail author
Other Pain (A. Kaye and N. Vadivelu, Section Editors)
  • 30 Downloads
Part of the following topical collections:
  1. Topical Collection on Other Pain

Abstract

Purpose of Review

Enhanced recovery pathways are a well-described perioperative healthcare program involving evidence-based interventions. Enhanced recovery is designed to standardize techniques such as drug selection and nerve blocks in order to speed recovery and reduce overall hospital costs.

Recent Findings

A PubMed literature search was performed for articles that included the terms enhanced recovery and breast reconstruction surgery. The present investigation summarizes enhanced recovery literature related to breast surgery with a focus on breast reconstruction.

Summary

Enhanced recovery considerations discussed in this review include patient education, preadmission optimization, perforator flap planning, anesthetic techniques, optimized fasting, venous thrombosis prophylaxis, early mobilization, and antimicrobial prophylaxis.

Keywords

Enhanced recovery after surgery (ERAS) Surgery Breast surgery Postoperative care Preoperative care Fast track recovery 

Notes

Authors’ Contribution

The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and each author believes that the manuscript represents honest work. All authors contributed equally to the manuscript and are involved in institutional protocols and policies for enhanced recovery pathways.

Compliance with Ethical Standards

Conflict of Interest

Amir Elhassan, Ahmed Ahmed, Hamdy Awad, Michelle Humeidan, Carmen L. Labrie-Brown, and Elyse M. Cornett declare no conflict of interest. Alan D. Kaye serves on the Speakers Bureau of Depomed and Merck. Richard D. Urman received research funding from Medtronic.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Amir Elhassan
    • 1
  • Ahmed Ahmed
    • 1
  • Hamdy Awad
    • 1
  • Michelle Humeidan
    • 1
  • Richard D. Urman
    • 2
  • Carmen L. Labrie-Brown
    • 3
  • Elyse M. Cornett
    • 4
  • Alan David Kaye
    • 3
    Email author
  1. 1.Department of AnesthesiologyOhio State University School of MedicineColumbusUSA
  2. 2.Department of Anesthesiology, Perioperative and Pain MedicineBrigham and Women’s HospitalBostonUSA
  3. 3.Department of AnesthesiologyLSU Health Science CenterNew OrleansUSA
  4. 4.Department of AnesthesiologyLSU Health ShreveportShreveportUSA

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