A meta-analysis in 2013 demonstrated local anesthetic pain catheters at the donor site, either on top of the rectus sheath or under the rectus fascia, significantly decreased opioid use but only showed a trend toward reducing LOS, for patients undergoing microvascular breast reconstruction (MBR). 108 Furthermore, two RCTs confirmed that continuous infusion catheters have no deleterious effect on flap perfusion or complications. 109 , 110 Recommendation: There is moderate quality evidence to support the inclusion of local anesthetic techniques and preemptive analgesia in breast reconstruction (Grade 1B).
← all excerpts
Paravertebral blocks and enhanced recovery after surgery protocols in breast reconstructive surgery: patient selection and perspectives.
1
—
—