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Pain Medication Prescribing Patterns in Augmentation Mammoplasty.
Jessica Winter1, Braden Cruise2, Blair R Peters1
1Section of Plastic Surgery, Department of Surgery, Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Plastic Surgery (Oakville, Ont.)
|September 1, 2023
Summary
Surgeons can now use new reference ranges for opioid prescriptions after bilateral breast augmentation (BBA). This study quantifies pain medication needs, promoting safer opioid prescribing practices post-surgery.
Area of Science:
- Plastic Surgery
- Pain Management
- Pharmacology
Background:
- Opioid prescribing rates have risen significantly after surgeries.
- Patients often consume less than half of prescribed opioids post-outpatient plastic surgery.
- Lack of established opioid dosage guidelines for bilateral breast augmentation (BBA).
Purpose of the Study:
- To determine the average opioid dosage for adequate pain control in BBA patients.
- To establish reference ranges for opioid prescribing after BBA.
- To inform safer opioid prescribing practices.
Main Methods:
- Prospective data collection from 56 BBA patients.
- Utilized take-home medication and pain tracking questionnaires.
- Pain scores and medication intake were recorded over 7 days.
Main Results:
- Subglandular BBA patients required an average of 25 Tylenol #3 or 19.3 Tramacet tablets.
- Subpectoral BBA patients required an average of 27.7 Tylenol #3 or 25.6 Tramacet tablets.
- No significant difference in opioid requirements between surgical approaches.
Conclusions:
- Proposed reference ranges for opioid medication following BBA.
- Recommendations align with current Canadian safe opioid prescribing guidelines.
- Aims to reduce unnecessary opioid exposure and improve patient outcomes.
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