Breast Cancer Female, Mastectomy
Conditions
Keywords
Enhanced Recovery after Surgery (ERAS), Fast-track surgery, Pec Blocks, Mastectomy
Brief summary
Retrospective analysis of pre and post-Enhanced Recovery after Surgery for Total mastectomy pathway implementation.
Detailed description
Retrospective analysis of pre- and post-Enhanced Recovery after surgery for total mastectomy pathway implementation in patients at Mount Zion Hospital. We examined perioperative opioid consumption, pain scores, post-operative nausea and vomiting, benzodiazepine use, length of stay for the time period before and after implementation of an Enhanced Recovery after Surgery pathway for Total mastectomy. Pathway features included preoperative acetaminophen and gabapentin, minimizing opioids, postoperative NSAIDs, Pecs blocks, and aggressive postoperative nausea and vomiting prophylaxis.
Interventions
Enhanced Recovery after Surgery (ERAS) pathway for Total Mastectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* female patients at least 18 years old undergoing total skin sparing mastectomy at University of California San Francisco Mount Zion hospital
Exclusion criteria
* patients undergoing concurrent bilateral salpingo-oophorectomy, flap reconstruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| perioperative opioid consumption | through study completion (average of 1 year) | perioperative opioid consumption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative nausea and vomiting (PONV) | through study completion (average of 1 year) | incidence post-operative nausea and vomiting |
| postoperative benzodiazepine use | through study completion (average of 1 year) | amount of benzodiazepines used postoperatively for treatment of muscle spasm |
| Length of stay (LOS) | through study completion (average of 1 year) | Length of stay |
| Pain score | through study completion (average of 1 year) | highest pain score perioperatively |
| Surgery duration | through study completion (average of 1 year) | length of surgery (min) |