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2025 Updates on Enhanced Recovery after Surgery protocols for plastic surgery of the breast and future directions
Abstract
Perioperative pain control is an important component of any plastic surgery practice. Due to the incorporation of Enhanced Recovery after Surgery (ERAS) protocols, reported pain level, opioid consumption, and hospital length of stay numbers have decreased significantly. This article provides an up-to-date review of current ERAS protocols in use, reviews individual aspects of ERAS protocols, and discusses future directions for the continual improvement of ERAS protocols and control of postoperative pain.
Faculty credentials/disclosure
Drs. Lombana and Mehta are plastic surgery resident physicians at Baylor Scott & White Medical Center – Temple. Dr. Zheng is a general surgery resident physician at the University of Chicago Medical Center. Dr. Falola is an emergency medicine resident physician at Trinity Health System. Dr. Altman is a plastic surgery staff physician at Baylor Scott & White Medical Center – Temple. Dr. Saint-Cyr is a plastic surgery staff physician at Banner – MD Anderson Cancer Care Center. The authors and planner for this educational activity have no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients.
Process
Click the "add to cart/begin" button, pay any relevant fee, take the quiz, complete the evaluation, and claim your CME credit. You must achieve 100% on the quiz with unlimited attempts available.
- By completing this process, you are attesting that you have read the journal article.
- By claiming ABIM MOC credit you are providing permission to have your data uploaded into the Accreditation Council for Continuing Medical Education (ACCME) system for transfer to the American Board of Internal Medicine (ABIM).
You will need to verify that your profile contains your correct birthdate (mm/dd) and ABIM diplomate number. For your convenience, please click here to verify your ABIM diplomate number.
Expiration date:
Credit eligibility for this article is set to expire on July 1, 2025.
Target Audience
All physicians
Learning Objectives
After completing the article, the learner should be able to:
- Identify the critical aspects of a successful Enhanced Recovery after Surgery (ERAS) protocol and customize their own ERAS protocol for postoperative patients.
- Apply a greater understanding of postoperative pain control and intraoperative strategies to control pain.
- Nicholas F. Lombana, MD - Division of Plastic Surgery, Department of General Surgery, Baylor Scott & White Medical Center – Temple, Temple, Texas
- Ishan M. Mehta, MD - Division of Plastic Surgery, Department of General Surgery, Baylor Scott & White Medical Center – Temple, Temple, Texas
- Caiwei Zheng, MD - Department of General Surgery, University of Chicago School of Medicine, Chicago, Illinois
- Reuben A. Falola, MD - Division of Plastic Surgery, Department of General Surgery, Baylor Scott & White Medical Center – Temple, Temple, Texas
- Andrew M. Altman, MD - Division of Plastic Surgery, Department of General Surgery, Baylor Scott & White Medical Center – Temple, Temple, Texas
- Michel H. Saint-Cyr, MD - Division of Plastic Surgery, Department of General Surgery, Banner MD Anderson Cancer Center, Gilbert, Arizona
*Dr. Lombana and Dr. Mehta contributed equally to this work.
Corresponding author:
- Nicholas F. Lombana, MD, Division of Plastic Surgery, Baylor Scott & White Medical Center – Temple, 2401 S. 31st Street, MS-01-E443, Temple, TX 76508 (e-mail: Nicholas.lombana@bswhealth.org)
Accreditation
The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation
AMA PRA Category 1 Credit™
The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Board of Internal Medicine Maintenance of Certification (MOC)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 MOC point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Available Credit
- 1.00 American Board of Internal Medicine (ABIM) MOC Part 2Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 1.00 AMA PRA Category 1 Credit™The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 1.00 Attendance