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; Adam Shalek

ISSN: 2167-0846

Journal de la douleur et du soulagement

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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

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.