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Titolo:
Continuous peripheral nerve block for ambulatory surgery
Autore:
Grant, SA; Nielsen, KC; Greengrass, RA; Steele, SM; Klein, SM;
Indirizzi:
Duke Univ, Med Ctr, Dept Anesthesiol, Durham, NC 27706 USA Duke Univ Durham NC USA 27706 Ctr, Dept Anesthesiol, Durham, NC 27706 USA
Titolo Testata:
REGIONAL ANESTHESIA AND PAIN MEDICINE
fascicolo: 3, volume: 26, anno: 2001,
pagine: 209 - 214
SICI:
1098-7339(200105/06)26:3<209:CPNBFA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
BRACHIAL-PLEXUS BLOCK; LUMBAR PLEXUS; POSTOPERATIVE PAIN; KNEE SURGERY; BUPIVACAINE; ANALGESIA; ANESTHESIA; INFUSION;
Keywords:
continuous peripheral nerve block; ropivacaine; ambulatory surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Grant, SA Univ Glasgow, Royal Infirm, Dept Anaesthet, 10 Alexandra Pl, Glasgow G31 2ER, Lanark, Scotland Univ Glasgow 10 Alexandra Pl Glasgow Lanark Scotland G31 2ER and
Citazione:
S.A. Grant et al., "Continuous peripheral nerve block for ambulatory surgery", REG ANES PA, 26(3), 2001, pp. 209-214

Abstract

Background and Objectives: Continuous peripheral nerve block (CPNB) can provide surgical anesthesia, prolonged postoperative analgesia, and acceptable side effects. Despite these advantages, CPNB is not in widespread use. Recently a new CPNB catheter system (Contiplex, B. Braun, Bethlehem, PA) was developed based on an insulated Tuohy needle, which allows for injection oflocal anesthetic and catheter insertion without disconnection or needle movement. At present, no clinical studies exist describing this system. Methods: Data were prospectively gathered for 1 year from 228 patients in an ambulatory surgery center. All CPNB were performed using the Contiplex system to provide anesthesia and postoperative analgesia. CPNB were performed using 5 upper and lower extremity techniques. Postsurgery local anesthetic was infused and at 24 hours, a rebolus of local anesthetic was performed. The CPNB catheter was removed and patients were examined for loss of sensation. Patients were then discharged. Results: Initial peripheral block was successful in 94% of patients. Failed nerve block requiring general anesthesia occurred in 6%. The catheter waspatent and functional in 90% of patients at 24 hours, and 8% of patients required more than 10 mg of intravenous morphine by 24 hours postsurgery. Inthe postanesthesia care unit (PACU), only 4 patients (1.7%) required treatment for nausea. At 24 hours and 7 days postsurgery. no patient reported a dysesthesia. Conclusions: CPNB using the insulated Tuohy catheter system offered acceptable anesthesia and prolonged pain relief postsurgery. There were few side effects.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:18:38