[Postoperative inconveniences after breast cancer surgery].
The most common postoperative inconveniences after breast cancer surgery are pain, nausea and vomiting, which contribute to reduced patient satisfaction, prolonged hospital stays and delayed courses of rehabilitation. This article summarizes the literature regarding available procedure-specific evidence for prophylactic nausea, vomiting and pain treatment supported by transferable evidence from similar types of surgery. We propose a prophylactic combination of Dexametason, Ondansteron, Paracetamol, Celecoxib, Gabapentin and Detromethorphan as future treatment.
Gärtner
Rune
R
Rigshospitalet, Mamma- og Endokrinkirurgisk Klinik, Anaestesi. runegartner@dadlnet.dk
Callesen
Torben
T
Kroman
Niels
N
Kehlet
Henrik
H
D000082:Acetaminophen / Q000008:administration & dosage; D000588:Amines / Q000008:administration & dosage; D000700:Analgesics / Q000008:administration & dosage*; D000932:Antiemetics / Q000008:administration & dosage*; D000996:Antitussive Agents / Q000008:administration & dosage; D001943:Breast Neoplasms / Q000601:surgery*; D000068579:Celecoxib; D003509:Cyclohexanecarboxylic Acids / Q000008:administration & dosage; D016861:Cyclooxygenase Inhibitors / Q000008:administration & dosage; D003907:Dexamethasone / Q000008:administration & dosage; D003915:Dextromethorphan / Q000008:administration & dosage; D004329:Droperidol / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005260:Female; D000077206:Gabapentin; D006801:Humans; D017294:Ondansetron / Q000008:administration & dosage; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control*; D020250:Postoperative Nausea and Vomiting / Q000188:drug therapy / Q000517:prevention & control*; D011720:Pyrazoles / Q000008:administration & dosage; D013449:Sulfonamides / Q000008:administration & dosage; D005680:gamma-Aminobutyric Acid / Q000008:administration & dosage
D000588:Amines; D000700:Analgesics; D000932:Antiemetics; D000996:Antitussive Agents; D003509:Cyclohexanecarboxylic Acids; D016861:Cyclooxygenase Inhibitors; D011720:Pyrazoles; D013449:Sulfonamides; D000082:Acetaminophen; D017294:Ondansetron; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D003915:Dextromethorphan; D003907:Dexamethasone; D000068579:Celecoxib; D004329:Droperidol