Enhanced Recovery Strategies in Elective Breast Surgery

Recruitment & Eligibility

Status: Terminated

Sex: Female

Target Recruitment: Not specified

Inclusion Criteria

Inclusion Criteria: - Age equal to and greater than 18 years. - Medically cleared to undergo elective breast surgery (including associated anesthesia) at UW Transformations Surgery Center or Madison Surgery Center (MSC). - Undergoing bilateral breast augmentation or bilateral breast reduction by the PI (Dr. Venkat Rao). Exclusion Criteria: - Minors or under the age of 18 - Pregnant or breast feeding women - Incarcerated women - Males - Individuals unable to give consent due to another condition such as impaired decision-making capacity. - Women who take opioid pain medications on a regular basis prior to surgery. - Women with a history of opioid abuse and/or dependence. - Women who, based on anesthesiologist discretion, are not candidates for paravertebral block. - Women with BMI >35 - Women with a diagnosis of obstructive sleep apnea who are noncompliant with their treatment (e.g. CPAP use). - Women with a history of bleeding disorders precluding safe paravertebral block. - Women on anticoagulation therapy who have not held their anticoagulation as recommended by their surgeon or anesthesiologist. - Women with a history of infection at the site of paravertebral block. - Women not medically cleared for surgery at Transformations or MSC and thus would not be undergoing surgery at Transformations or MSC. This would include women with sepsis/bacteremia, significant valvular disorders or heart conditions.

Exclusion Criteria

Not provided

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Numerical Pain Scores, Rated by Patient on 0-10 Scale

Secondary Outcome Measures

Name	Time	Method
Numerical Pain Scores, Rated by Patient on 0-10 Scale;Time Spent in Each Phase of Care Prior to Discharge;Time to Discharge to Home;Analgesic Requirements Reported as the Number of Participants Who Were Still Taking Medications Post-Operatively Day 7;Post-operative Nausea and Vomiting (Subjective Report) Measured as the Mean Incidence Reported Post-Operatively Day 7;Anti-emetic Requirements Measured as Number of Participants Taking Anti-nausea Medication Post-Operatively Day 7;Patients' Assessment of Perceived Quality of Recovery Using Modified Quality of Recovery Survey (MQOR-40)