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#Anesthesiology #General Surgery #Plastic Surgery
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A new study published in Plastic and Reconstructive Surgery aimed to assess the efficiency of multimodal analgesia (MMA) in reducing reliance on opioid medications. This was retrospective review of 560 patients undergoing outpatient breast procedures. Here, patients received either no pre-operative analgesia; intra-operative IV acetaminophen; pre-operative oral acetaminophen and gabapentin; or pre-operative oral acetaminophen, gabapentin and celecoxib. The findings showed that both the oral MMA regimens significantly reduced PACU narcotic use, initial pain scores and maximum pain scores. Additionally, both the oral regimens fared better than no medications or IV acetaminophen alone. Meanwhile, PACU length-of-stay, anti-emetic use and 30-day complications were not different between the groups. Hence, it was concluded that pre-operative oral multimodal analgesia reduces narcotic use and pain scores in outpatient breast plastic surgery. It was further stated that these regimens are inexpensive, and improve pain control.