Optimering af det tidlige postoperative forløb efter brystkræftkirurgi

Rune Gärtner, Torben Callesen, Niels Kroman, Henrik Kehlet

Abstract

The most common postoperative inconveniences after breast cancer surgery are pain, nausea and vomiting, which contribute to reduced patient satisfaction, prolonged hospital stays and delayed courses of rehabilitation. This article summarizes the literature regarding available procedure-specific evidence for prophylactic nausea, vomiting and pain treatment supported by transferable evidence from similar types of surgery. We propose a prophylactic combination of Dexametason, Ondansteron, Paracetamol, Celecoxib, Gabapentin and Detromethorphan as future treatment.

Bidragets oversatte titelPostoperative inconveniences after breast cancer surgery
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind170
Udgave nummer23
Sider (fra-til)2032-4
Antal sider3
ISSN0041-5782
StatusUdgivet - 2 jun. 2008
Udgivet eksterntJa

Emneord

  • Acetaminophen/administration & dosage
  • Amines/administration & dosage
  • Analgesics/administration & dosage
  • Antiemetics/administration & dosage
  • Antitussive Agents/administration & dosage
  • Breast Neoplasms/surgery
  • Celecoxib
  • Cyclohexanecarboxylic Acids/administration & dosage
  • Cyclooxygenase Inhibitors/administration & dosage
  • Dexamethasone/administration & dosage
  • Dextromethorphan/administration & dosage
  • Droperidol/administration & dosage
  • Drug Therapy, Combination
  • Female
  • Gabapentin
  • Humans
  • Ondansetron/administration & dosage
  • Pain, Postoperative/drug therapy
  • Postoperative Nausea and Vomiting/drug therapy
  • Pyrazoles/administration & dosage
  • Sulfonamides/administration & dosage
  • gamma-Aminobutyric Acid/administration & dosage

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