2024
Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction
Ayyala H, Assel M, Aloise J, Serafin J, Tan K, Mehta M, Puttanniah V, McCormick P, Malhotra V, Vickers A, Matros E, Lin E. Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction. Regional Anesthesia & Pain Medicine 2024, rapm-2023-105031. PMID: 38336375, DOI: 10.1136/rapm-2023-105031.Peer-Reviewed Original ResearchErector spinae planeLength of stayAutologous breast reconstructionBreast reconstructionFlap reconstructionLocal infiltrationLatissimus dorsi myocutaneous flap reconstructionErector spinae plane blockPostoperative length of stayAssociated with significant painLatissimus flap reconstructionNo blockFlap breast reconstructionMyocutaneous flap reconstructionShorter postoperative stayRetrospective cohort studyLocal infiltration analgesiaComplex breast reconstructionPostoperative antiemetic administrationDecreased length of stayOpioid consumptionPlane blockPostoperative stayIntraoperative opioidsSurgical infiltration
2023
Racial disparities in surgical outcomes after mastectomy in 223 000 female breast cancer patients: a retrospective cohort study
Knoedler S, Kauke-Navarro M, Knoedler L, Friedrich S, Matar D, Diatta F, Mookerjee V, Ayyala H, Wu M, Kim B, Machens H, Pomahac B, Orgill D, Broer P, Panayi A. Racial disparities in surgical outcomes after mastectomy in 223 000 female breast cancer patients: a retrospective cohort study. International Journal Of Surgery 2023, 110: 684-699. PMID: 38052017, PMCID: PMC10871660, DOI: 10.1097/js9.0000000000000909.Peer-Reviewed Original ResearchAmerican Indian/Alaska Native womenBreast cancer patientsAlaska Native womenSurgical complicationsRadical mastectomyPartial mastectomyCancer patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseFemale breast cancer patientsNon-home dischargeRetrospective cohort studyImprovement Program databaseLikelihood of readmissionBreast cancer mortalityBreast cancer surgeryAfrican American patientsAmerican Indians/Alaska NativesBlack/African AmericanNative Hawaiian/Pacific IslanderComplication occurrencePerioperative complicationsPerioperative outcomesAdverse events
2019
Utility of local anesthesia for open carpal tunnel release in patients with psychiatric diagnoses
Ayyala H, Castel N, Mohamed O, Xue E, Oleck N, Lee E. Utility of local anesthesia for open carpal tunnel release in patients with psychiatric diagnoses. JPRAS Open 2019, 23: 26-31. PMID: 32158902, PMCID: PMC7061543, DOI: 10.1016/j.jpra.2019.10.002.Peer-Reviewed Original ResearchCarpal tunnel releaseOperative timeComplication ratePsychiatric historyPsychiatric diagnosisMedical CenterLocal anesthesiaWide-awake hand surgeryVeterans Affairs (VA) medical centersIncreased prevalence of psychiatric disordersPrevalence of psychiatric disordersOperating roomVA Medical CenterHistory of psychiatric illnessRetrospective cohort studyActive psychiatric diagnosisHand surgeryOpen carpal tunnel releaseUtilization of local anesthesiaMilitary Medical CenterMonitored anesthesia careWide-awake surgeryStatistically significant differencePost-traumatic stress disorderRequested sedation