Regional Anaesthesia and Subsequent Long-Term Pain
| Autor: | T. Wolff, A. Barry, L. Scheker, L. Weeks, J. Firrell |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Time Factors Kentucky Pain Anesthesia General Axillary sheath Anesthesia Conduction medicine Humans General anaesthesia Prospective Studies Prospective cohort study Pain Measurement Transplantation business.industry Incidence Nerve Compression Syndromes Incidence (epidemiology) Nerve Block Sequela Equipment Design Tourniquets medicine.disease Surgery medicine.anatomical_structure Elective Surgical Procedures Needles Anesthesia Chronic Disease Emergencies Elective Surgical Procedure business Complication Brachial plexus Follow-Up Studies |
| Zdroj: | Journal of Hand Surgery. 19:342-346 |
| ISSN: | 0266-7681 |
| Popis: | The incidence of long-term pain (between 1 and 48 weeks and at 2 year follow-up) unrelated to the surgical site following either regional brachial plexus or general anaesthesia was determined. In 834 patients with regional anaesthesia, the incidence (11.1%) was significantly higher than in the 86 patients with general anaesthesia (3.6%; P =0.03). The incidence of pain was not significantly different among four common techniques of positioning the needle tip in the axillary sheath (9.9 to 11.1%). Parascalene blocks had a slightly but not significantly higher rate (16.3%). A regional re-block was not associated with a higher incidence when compared to those blocked only once. A more distal local re-block was associated with a higher incidence of pain (23%). 2 years post-operatively, 0.5% of patients had pain related to the regional block. A significant proportion of patients developed some long-lasting post-operative pain following regional brachial plexus anaesthesia, although ultimate morbidity was minimal. |
| Databáze: | OpenAIRE |
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