We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The effectiveness of ambulatory continuous peripheral nerve blocks for postoperative pain management in children and adolescents.
- Authors
Visoiu, Mihaela; Joy, Lendi N.; Grudziak, Jan S.; Chelly, Jacques E.
- Abstract
Background Ambulatory continuous peripheral nerve blocks ( CPNBs) are feasible for pediatric patients. We sought to evaluate the efficacy of CPNBs in a pediatric population. Methods This retrospective report of 33-month prospectively collected data investigates patient, parent, and nurse pain control satisfaction score ( PCSS), the incidence and severity of pain, daily analgesic consumption following discharge home with various CPNBs and On-Q pumps, and any complications and side effects related to CPNBs. Results Four hundred and three patients (403; aged 5-22) were discharged home with 410 CPNBs (brachial and lumbar plexus, femoral, sciatic, and paravertebral); 76.7% on the day of surgery. The median/interquartile range ( IQR) ropivacaine continuous infusion via On-Q pump was 0.24 (0.20-0.30) mg·kg−1·hr−1, and the median/ IQR duration was 72 (48-72) h. The median/ IQR home PCSS was 10 (9-10). Median Postoperative Ambulatory Care Unit ( PACU)/ IQR pain control satisfaction scores were 10 (8-10) for the patient, 10 (9-10) for the parent, and 10 (9-10) for the nurse. Thirty-three (10.0%) patients did not report any pain at home, and median maximum home/ IQR pain score was 4 (2-6). In the PACU, 126 (31.3%) patients did not report any pain and median/ IQR pain score was 1 (0-3). No opioids were administered at home for 12 (4.3%) patients and in the PACU for 150 (37.4%). Sixty-three (14.4%) complications and side effects for 58 patients were reported. We report 93.1% ambulatory efficacy of CPNBs. Conclusion Our patients and their caregivers were very satisfied with ambulatory CPNBs. When combined with oral analgesics, CPNBs provided effective home postoperative analgesia.
- Subjects
PERIPHERAL nervous system; NERVE block; POSTOPERATIVE pain; PAIN in children; PAIN in adolescence; THERAPEUTICS
- Publication
Pediatric Anesthesia, 2014, Vol 24, Issue 11, p1141
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/pan.12518