Use of the On-Q Pain Pump in Alveolar Bone Grafting: Effect on Hospital Length of Stay
| Autor: | Arshad R. Muzaffar, Abby Warren, C. Lynette Baker |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Cleft Lip Length of hospitalization Tertiary care Iliac crest Ilium 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Humans Pain Management Statistical analysis Anesthetics Local Child Infusion Pumps Pain Measurement Retrospective Studies Pain Postoperative business.industry Alveolar Bone Grafting Retrospective cohort study 030206 dentistry Length of Stay Institutional review board Surgery Cleft Palate medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Anesthesia Child Preschool Female Oral Surgery Alveolar bone grafting business Cohort study |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 53(2) |
| ISSN: | 1545-1569 |
| Popis: | Objective Alveolar bone grafting (ABG) with iliac crest bone graft can be associated with significant pain at the donor site. The On-Q pain pump has been shown to be efficacious in treating postsurgical pain. The aim of this study was to compare the length of postoperative hospital stay in patients undergoing ABG who received the On-Q pain pump at the iliac crest donor site (On-Q+) with that of patients who did not receive the On-Q pain pump (On-Q-). Design A retrospective, cohort study, approved by institutional review board, was performed. Thirty-one consecutive patients in the On-Q- group were compared with 38 consecutive patients in the On-Q– group. The two cohorts were assessed for length of stay. Statistical analysis was performed using the Fisher exact probability test. Setting Tertiary care academic medical center. Patients Sixty-nine patients with cleft lip and/or cleft palate (CL/P) undergoing secondary ABG with iliac crest bone graft were operated on between May 1993 and January 2014. Main Outcome Measure Length of postoperative hospital stay. Result Mean length of stay in the On-Q– patients was 0.52 days versus 0.37 days for the On-Q– patients. This difference between the two cohorts was not statistically significant (P = .234). Conclusion Although there is a trend toward a shorter length of stay in our patients who received the On-Q pump, this finding was not statistically significant. Given the expense and additional burden of care associated with the device, we have become more selective in its utilization. |
| Databáze: | OpenAIRE |
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