On-Q® pain pump versus epidural for postoperative analgesia in children
| Autor: | Catherine J. Goodhue, James E. Stein, Jamil A. Matthews, Elizabeth M. Pontarelli |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Continuous infusion Foley catheter Pharmacotherapy Pediatric surgery medicine Humans In patient Local anesthesia Anesthetics Local Child Infusion Pumps Pain Measurement Retrospective Studies Analysis of Variance Pain Postoperative business.industry Retrospective cohort study General Medicine Bupivacaine Surgery Analgesia Epidural Analgesics Opioid Fentanyl Catheter Treatment Outcome Child Preschool Anesthesia Pediatrics Perinatology and Child Health Drug Therapy Combination Female business |
| Zdroj: | Pediatric Surgery International. 29:1267-1271 |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-013-3342-4 |
| Popis: | The On-Q(®) pain pump provides a continuous infusion of local anesthesia for management of postoperative pain. The objective of this study was to assess the efficacy and outcomes of the On-Q(®) pump compared to continuous epidural in children postoperatively.We performed a retrospective review of patients in our hospital who received a postoperative epidural or On-Q(®) pump from 2005 to 2008. Patients were sub-categorized by incision type.Seventy patients received epidural and 66 On-Q(®). On-Q(®) therapy was longer by 1 day (p0.0001), but did not affect postoperative length of stay. Patients with On-Q(®) pumps had a decreased rate of Foley catheter placement (p = 0.002) and shorter duration of catheter use by more than a day (p0.001). Moderate to severe pain was similar in the two groups on postoperative days 0-5. Supplemental narcotic use was higher in the On-Q(®) group only on postoperative day 1 (p = 0.005) and in patients with midline and transverse abdominal incisions. No differences were seen in time to ambulation or recovery of postoperative ileus.The On-Q(®) pain pump is an effective method for postoperative pain control, without the inherent risks of epidural catheters. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink