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Dissertation
Enhanced Recovery After Surgery (ERAS) for Breast Surgery Patients
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Enhanced Recovery After Surgery (ERAS) protocols were introduced in the United States in 2001 to improve surgical patient outcomes and facilitate discharge. The goals of ERAS are freedom from nausea and pain. Certain patient populations, including breast surgery patients, are more at risk for nausea and pain. Purpose: This project aimed to improve patient outcomes by adapting and implementing an ERAS protocol for breast surgery patients. The project's objectives were to reduce the incidence of postoperative nausea and vomiting (PONV), average pain scores in PACU, and intravenous opioid consumption in PACU. Methods: A comprehensive literature review was performed on existing protocols in the United States, and an evidence-based protocol was developed based on existing protocols. Consensus was gained through a multidisciplinary team of anesthesiologists, breast surgeons, and nurses. The protocol was made available to the academic institution’s anesthesia department. It was implemented on all mastectomies (breast cancer, prophylactic, transgender), breast reconstructions, breast reductions, and breast augmentations. Findings: A retrospective data analysis was performed on de-identified patient information of all breast patients in the ambulatory surgery center from September 2023 to February 2024. The protocol demonstrated a reduction in PONV incidence, mild average pain scores, and a low incidence of IV opioid consumption in PACU. Discussion: The Breast Surgery ERAS protocol improved patient outcomes for this high-risk patient population. The protocol remains approved by the academic institution's Best Practice Committee, and its impact should continue to be championed in all care environments, even outside of ambulatory surgery.
Details
- Title: Subtitle
- Enhanced Recovery After Surgery (ERAS) for Breast Surgery Patients
- Creators
- Anne Marie Manganaro - University of Iowa
- Contributors
- Kathleen Fear (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Anne Marie Manganaro
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627352302771
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