Journal of Pain & Relief
Open Access

A Proposed Multimodal Pain Control Regimen for Patients Undergoing Post Mastectomy with Reconstruction and Its Effect on Minimizing Narcotic Use and Hospital Length of Stay

Grace Lepis, Alexis Coleman, Ethan Paulin, Manpreet Kohli, Gregory Greco^*, Ashley Toussaint, Vincent Almagno and Adam Shalek

Robert Wood Johnson Barnabas Health Monmouth Medical Center, New Jersey, USA

Received Date: May 13, 2020 / Accepted Date: Jun 24, 2020 / Published Date: Jul 01, 2020

Citation: Lepis G, Toussaint A, Almagno V, Shalek A, Coleman A, et al. (2020) A Proposed Multimodal Pain Control Regimen for Patients Undergoing Post Mastectomy with Reconstruction and Its Effect on Minimizing Narcotic Use and Hospital Length of Stay. J Pain Relief 9: 350.

Copyright: © 2020 Greco G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Background: There are few studies outlining an adoptable enhanced recovery pathway after mastectomy and
reconstruction. This study analyzed a constructed and employed multimodal pain control regimen and the data
extrapolated demonstrates how it may influence narcotic use and length of stay in the hospital.
Methods: A retrospective electronic medical record review from 2016 to 2016 under the care of two surgeons from
a community hospital included 47 patients.
Results: After implementation of the regimen, average length of stay in the hospital decreased by nearly 10 hours
with about 1/3 of the patients having a completely narcotic free hospitalization.
Conclusion: By employing these techniques, adequate pain control is possible, patient satisfaction would increase
and length of hospital stay would decrease. Encouraging results of this study propose a regimen that could easily and
affordably be adopted amongst other hospitals and surgeons across multiple specialties.

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