Opioid-free anesthesia for patients undergoing mastectomy: A matched comparison. (Record no. 11005)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02678nam a22003257a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 200902s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1075-122X |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1111/tbj.13999 [doi] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 32767477 |
| 245 ## - TITLE STATEMENT | |
| Title | Opioid-free anesthesia for patients undergoing mastectomy: A matched comparison. |
| 251 ## - Source | |
| Source | Breast Journal. 2020 Aug 06 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Breast J. 2020 Aug 06 |
| 253 ## - Journal Name | |
| Journal name | The breast journal |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2020-09-02 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Opioid-free anesthesia (OFA) is being implemented in breast surgery due to increased awareness of adverse effects and the national opioid crisis. The objective of this study was to examine the effect of OFA on postoperative pain and postoperative nausea and vomiting (PONV) in mastectomy patients. A single-institution matched-cohort study was conducted from 2014 to 2017 on 48 women undergoing mastectomy, with the majority also undergoing immediate prosthetic-based reconstruction. Patients received either conventional anesthesia (CA) or a novel OFA regimen. Primary outcomes included postoperative pain scores, opioid use, and need for antiemetics that were evaluated both in the PACU and on the hospital floors. No significant differences were found in PACU opioid or antiemetic use between OFA and CA. Pain scores in PACU and on POD0 were not significantly different. There was a significant but modest decrease on POD1 in OFA patients (3.9 vs. 5.1, P = .046). Additionally, patients with higher intraoperative opioid regimens experienced significantly increased PONV (P = .023). This study demonstrated the efficacy of OFA in controlling postoperative pain and nausea compared to a traditional opioid-based regimen. Regardless of intraoperative opioids, patients experienced similar postoperative opioid requirements and PONV with decreased pain scores. Thus, OFA is feasible in mastectomy patients and should be further evaluated in select patients. Copyright (c) 2020 Wiley Periodicals LLC. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | MedStar Regional Breast Health Program |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Thibodeau, Renee |
| 790 ## - Authors | |
| All authors | Bartholomew AJ, Bozzuto L, Fan KL, Gopwani S, Griffith K, King CA, Myers J, Perez-Alvarez IM, Sosin M, Thibodeau R, Tousimis EA |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1111/tbj.13999">https://dx.doi.org/10.1111/tbj.13999</a> |
| Public note | https://dx.doi.org/10.1111/tbj.13999 |
| 858 ## - ORCID | |
| ORCID text | Fan, Kenneth L |
| Orcid | <a href="https://orcid.org/0000-0001-5951-5576">https://orcid.org/0000-0001-5951-5576</a> |
| Name | https://orcid.org/0000-0001-5951-5576 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 09/02/2020 | 32767477 | 32767477 | 09/02/2020 | 09/02/2020 | Journal Article |