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Understanding Hematoma Risk: Study of Patient and Perioperative Factors in a Large Cohort of Young Women Undergoing Reduction Mammaplasty.
J Am Coll Surg
May 2024
From the Departments of Plastic and Oral Surgery (Stanek, Nussbaum, Labow, Ganske, Ganor, Greene, Nuzzi, Rogers-Vizena), Boston Children's Hospital, Boston, MA.
Background: Despite high satisfaction rates, reduction mammaplasty can have complications such as hematoma. Factors such as age, tobacco use, and comorbidities are known contributors, whereas the influence of race, BMI, certain medications, and blood pressure (BP) remain contentious. This study investigates hematoma risk factors in young women undergoing reduction mammaplasty.
View Article and Find Full Text PDFAnalgesic effect of ketorolac as an adjuvant to bupivacaine in ultrasound-guided pectoral nerve block (I + II) for patients undergoing modified radical mastectomy: A randomized controlled clinical trial.
J Anaesthesiol Clin Pharmacol
January 2023
Department of Anesthesia, Intensive Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Background And Aims: Many drugs have been tried as adjuvant to local anesthetic in different nerve blocks. Ketorolac is one of them, but it has never been used in pectoral nerve block. In this study, we evaluated its adjuvant effect with local anesthetic on postoperative analgesia in ultrasound (US)-guided pectoral nerve (PECS) blocks.
View Article and Find Full Text PDFPostoperative Hematomas in the Era of Outpatient Mastectomy: Is Ketorolac Really to Blame?
Ann Surg Oncol
October 2022
Department of General Surgery, Division of Surgical Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
Background: Enhanced recovery after surgery (ERAS) protocols following mastectomy with or without implant-based breast reconstruction (IBBR) include ketorolac for multimodal perioperative analgesia. There are concerns that ketorolac could be associated with increased risk of postoperative hematoma formation.
Methods: Retrospective review of patients undergoing mastectomy with or without IBBR between January 2013 and December 2019 at a single institution.
Implementation of an enhanced recovery protocol in patients undergoing mastectomies for breast cancer: an interrupted time-series design.
Asia Pac J Oncol Nurs
July 2022
Departments of Anesthesiology and Critical Care Medicine, New York, NY, USA.
Background: We reviewed internal data and the current literature to update our enhanced recovery protocol (ERP) for patients undergoing a total breast mastectomy. Following implementation, the protocol was audited by chart review and compliance reminders were sent through email.
Objective: Our primary research aim was to examine the protocol compliance following the update.
Opioid-Free Segmental Thoracic Spinal Anesthesia with Intrathecal Sedation for Breast and Axillary Surgery: Report of Four Cases.
Local Reg Anesth
May 2022
Department of Anaesthesiology, IRCSS-INRCA, Ancona, Italy.
Article Synopsis
- * The procedure was successful in all patients with no conversion to general anesthesia needed and no major complications, showing a satisfactory sensory blockade and effective postoperative pain management with IV Ketorolac.
- * Findings suggest that STSA can be a safe and effective alternative to general anesthesia for elderly patients, but more extensive studies are needed to confirm the results.
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