An analysis of 1505 consecutive patients receiving continuous interscalene analgesia at home: a multicentre prospective safety study
Autor: | C. Frampton, P. Leightley, A. Wong, M. J. Fredrickson, M. Chaddock, A. Abeysekera |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Shoulder Shoulder surgery Adolescent medicine.medical_treatment 03 medical and health sciences Young Adult 0302 clinical medicine 030202 anesthesiology medicine Humans 030212 general & internal medicine Prospective Studies Young adult Anesthetics Local Prospective cohort study Brachial plexus block Aged Aged 80 and over Pain Postoperative business.industry Middle Aged Dysphagia Brachial Plexus Block Surgery Catheter Anesthesiology and Pain Medicine Treatment Outcome Anesthesia Concomitant Ambulatory Female medicine.symptom business |
Zdroj: | Anaesthesia. 71(4) |
ISSN: | 1365-2044 |
Popis: | Continuous interscalene brachial plexus block has been shown to be the most effective analgesic technique following shoulder surgery; however, its use is uncommon due to logistical and safety concerns related to ambulatory administration. We prospectively studied 1505 consecutive patients undergoing shoulder surgery who received continuous interscalene analgesia at home. Catheter removal was by the patient between postoperative days two and five. There were no major complications although 27% of patients reported mild dyspnoea, 13% hoarseness and 7% dysphagia. Twelve percent sought medical advice and 2% reported technical issues with the pump or tubing. Complications and technical issues were associated with patient age; weight; use of ultrasound or concomitant nerve stimulation as the endpoint for final needle tip position; local anaesthetic placement via the catheter or needle; whether a catheter-related intervention for pain relief was required in the recovery area; and the type of ambulatory pump. We conclude that this study supports the safety of this underused analgesic technique. |
Databáze: | OpenAIRE |
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