title: Decreased postoperative pain, narcotic, and antiemetic use after breast reduction using a local anesthetic pain pump.
abstract: The purpose of this study was to conduct a prospective trial evaluating the efficacy of a local anesthetic pain pump in breast reduction surgery. Ninety-eight women undergoing bilateral breast reduction were enrolled. Thirty-seven patients received a pain pump containing 0.25% bupivicaine, and 61 patients received no pain pump. Parameters measured included subjective pain, episodes of postoperative nausea and vomiting (PONV), and the amount of narcotics and antiemetics used. Patients receiving a pain pump reported significantly lower pain scores on the day of surgery, as well as on the first and second postoperative days when compared with patients who did not (P < 0.01). The amount of intravenous and oral narcotics used paralleled the reduction in pain (P < 0.01), and there were fewer episodes of PONV and antiemetics used in the patients receiving a pain pump (P < 0.01). A postoperative local anesthetic pain pump can reduce pain, narcotic use, and PONV in women undergoing breast reduction.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
authors.forename: Zol B
authors.initials: ZB
authors.lastname: Kryger
authors.forename: Vinay
authors.initials: V
authors.lastname: Rawlani
authors.forename: Leonard
authors.initials: L
authors.lastname: Lu
authors.forename: Neil A
authors.initials: NA
authors.lastname: Fine
mesh_terms: D000328:Adult; D000932:Antiemetics / Q000627:therapeutic use*; D002045:Bupivacaine / Q000008:administration & dosage / Q000627:therapeutic use*; D016503:Drug Delivery Systems; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable; D016462:Mammaplasty; D009294:Narcotics / Q000008:administration & dosage / Q000627:therapeutic use*; D009325:Nausea / Q000517:prevention & control*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000517:prevention & control*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012720:Severity of Illness Index
chemical_list: D000932:Antiemetics; D009294:Narcotics; D002045:Bupivacaine