Effect of peripheral nerve blocks on postanesthesia care unit length of stay in patients undergoing ambulatory surgery : A retrospective cohort study
| Autor: | Peter Santer, Victor Polshin, Maximilian Hammer, Matthias Eikermann, Thomas T. Simopoulos, Luca J Wachtendorf, Julie Petro |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Nausea medicine.medical_treatment Medizin Pacu 03 medical and health sciences 0302 clinical medicine Ambulatory care Anesthesia Conduction 030202 anesthesiology medicine Clinical endpoint Humans Peripheral Nerves Retrospective Studies Pain Postoperative biology business.industry Retrospective cohort study General Medicine Length of Stay biology.organism_classification Surgery Analgesics Opioid Anesthesiology and Pain Medicine Ambulatory Surgical Procedures Ambulatory Nerve block Vomiting medicine.symptom business 030217 neurology & neurosurgery |
| Popis: | BackgroundPeripheral regional anesthesia and analgesia may increase the efficiency of ambulatory surgical centers by reducing pain and preventing nausea and vomiting, which are important modifiable causes of prolonged postanesthesia care unit (PACU) length of stay. We hypothesized that the use of peripheral nerve blocks (PNB) was associated with shorter PACU length of stay in ambulatory surgery.MethodsIn this retrospective cohort study, we analyzed data from adult ambulatory surgical cases, in which PNB was a viable anesthetic option (ie, was routinely performed for these procedures), at an academic medical center between 2008 and 2018. We assessed the association between the use of PNB and the primary endpoint of PACU length of stay. As key secondary endpoint, we compared intraoperative opioid doses. Analyses were adjusted for patient demographics, comorbidities and intraoperative factors.ResultsA total of 57 040 cases were analyzed, of whom 13 648 (23.9%) received a PNB. The use of PNB was associated with shorter PACU length of stay (a decrease of 7.3 min, 95% CI 6.1 to 8.6, pConclusionThe use of PNB significantly reduced PACU length of stay in ambulatory surgical patients, which may in part be attributed to lower intraoperative opioid requirements. |
| Databáze: | OpenAIRE |
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