This repository contains educational materials developed for medical school application portfolio purposes and is not intended for clinical application.
This is not:
- Medical advice or clinical guidance
- An institutional guideline, policy, or order set
- Approved for clinical implementation
- A substitute for attending anesthesiologist or surgeon judgment
This is:
- Independent pre-medical educational project
- Literature synthesis for learning demonstration
- Medical school application portfolio material
Institutional Affiliation:
This is an independent educational project. It is not an official University of Washington or UW Medicine document and is not affiliated with, endorsed by, or approved by UW Medicine, its faculty, or staff.
Clinical Use:
Any clinical consideration requires institutional review, governance approval, and attending physician supervision. All medication dosing and surgical techniques must be individualized to patient-specific factors and local protocols. Institutional policies supersede all content.
Liability:
This work is provided "as is" without warranty of any kind. Users assume full responsibility for any use of these materials.
Author Status:
Pre-medical student. Not a licensed healthcare professional.
See: 01_PreOp_Assessment.md
Patient evaluation, risk stratification, and optimization strategies
See: 02_Surgical_Workflow.md
Step-by-step operative procedure, implant selection, and technical considerations
See: 03_Anesthesia_Protocol.md
Multimodal anesthesia approach including regional techniques and opioid-sparing strategies
See: 04_Complication_Management.md
Recognition and management of common complications including capsular contracture, infection, and implant malposition
See: 05_PACU_and_Discharge_Instructions.md
Includes:
- Pain strategy (non-opioid-first approach)
- Nausea management
- Drain care protocols
- Incision monitoring guidelines
- Discharge criteria
- Follow-up timeline (24 hours → 7 days → 6 weeks)
See: 06_References_Evidence_Breast_Augmentation.md
Complete bibliography and evidence synthesis
This protocol synthesizes findings from:
- American Society of Regional Anesthesia (ASRA) guidelines
- ERAS Society Breast Reconstruction Pathways
- Enhanced multimodal analgesia literature (2020-2025)
- Opioid-free anesthesia (OFA) randomized controlled trials
- Pectoral nerve block efficacy studies
- Breast reconstruction complication and infection management research
Full citations are listed in 06_References_Evidence_Breast_Augmentation.md
For Learning:
- Review each section sequentially for comprehensive understanding
- Use as framework for understanding perioperative breast reconstruction care
- Study evidence synthesis methodology
For Reference:
- Navigate directly to relevant sections using links above
- Print individual sections for study materials
- Use as template for clinical reasoning exercises
Download for Offline Use:
git clone https://github.com/collingeorge/Breast-Reconstruction-Anesthesia-Protocol.gitOr click the green "Code" button → "Download ZIP"
Author: Collin B. George, BS
Project Type: Independent pre-medical research and educational portfolio
Educational Context: Literature synthesis informed by clinical observation at University of Washington Medical Center
Status: Preparing for medical school matriculation 2026
GitHub: github.com/collingeorge
License: CC BY 4.0
This educational framework was informed by:
Professional Guidelines:
- ERAS Society breast reconstruction publications
- ASRA practice advisories on regional anesthesia safety
- ASA/APSF safety communications on perioperative risk management
Clinical Education: The author is grateful to University of Washington faculty, including clinical educators in anesthesiology and surgery, for observation opportunities and mentorship that informed this educational work.
Note: Clinical input from faculty relates to standard perioperative practices and does not constitute endorsement of this educational project.
This is a living educational document. Constructive feedback is welcome:
- Issues: Open a GitHub issue for corrections or suggestions
- Pull Requests: Submit proposed edits or improvements
Note: This repository is not seeking clinical implementation partners. Feedback is welcome for educational improvement only.
This work is licensed under Creative Commons Attribution 4.0 International (CC BY 4.0).
You are free to:
- Share and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose
Under the following terms:
- Attribution: You must give appropriate credit to Collin B. George, provide a link to the license, and indicate if changes were made
- You may not suggest that the author or any institution endorses you or your use
© 2025 Collin B. George — Licensed under CC BY 4.0