intensive care

New York — March 3, 2014 — A new approach to breast reconstruction surgery aimed at helping patients’ bodies get back to normal more quickly cut their postoperative opioid painkiller use in half and meant a day less in the hospital on average, a Mayo Clinic study found. The method includes new pain control techniques, preventive anti-nausea treatment and getting women eating and walking soon after free flap breast reconstruction surgery. It has proved so effective, it is now being used across plastic surgery at Mayo Clinic. The findings were being presented at the Plastic Surgery Research Council annual meeting March 7-9 in New York. Breast reconstruction surgery is common after breast tissue is removed to prevent or treat breast cancer; in free flap breast reconstruction, the plastic surgeon transfers a section of tissue from one part of the body to the chest.  Using traditional care, the hospital stay averaged roughly four and a half days after that procedure. Using a new approach known as an “enhanced recovery pathway,” patients spent an average of three days in the hospital, the researchers found. Opioid painkiller use by patients in the hospital after surgery also declined with the new method, and those patients reported less pain at 24 hours after surgery than those who received the traditional approach. Calculated in oral morphine equivalents, opioid use averaged 142.3 milligrams over the first three days in the hospital, compared with an average of 321.3 milligrams over the same period with traditional care. Patients are giving the changes positive reviews, says senior author Michel Saint-Cyr, M.D., a plastic surgeon in the Breast Diagnostic Clinic at Mayo Clinic in Rochester, Minn.  

http://www.youtube.com/watch?v=yzExwqHnDnE Our bodies are very good at fighting infection.  The immune system reacts and attacks bacteria and viruses that make us sick. But sometimes the immune reaction is so strong that it damages the body. This is called a septic reaction or sepsis, and the mortality rate associated with it can be high. Doctors at Mayo Clinic are trying to change that with a sepsis response team in intensive care units. Their goal: to stop sepsis and save lives.  [TRT 2:10]  Script: Surviving Sepsis. Journalists: The video report is available in the downloads. News Network pkgs. can be edited into vo/sots and incorporated in your reporting.