Comparison of continuous with single-injection regional analgesia on patient experience after ambulatory orthopaedic surgery: a randomised multicentre trial
| Autor: | Axel Maurice-Szamburski, Philippe Grillo, Philippe Cuvillon, Thierry Gazeau, Laurent Delaunay, Pascal Auquier, Sophie Bringuier, Xavier Capdevila |
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| Přispěvatelé: | Clinique Juge - Clinique du sport [Marseille], Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Initial MAnagement and prevention of acute orGan failures IN critically ill patiEnts (IMAGINE), Université de Montpellier (UM), Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Hôpital Lapeyronie [Montpellier] (CHU), Institut Desbrest de santé publique (IDESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut des Neurosciences de Montpellier (INM) |
| Rok vydání: | 2022 |
| Předmět: |
Patient experience
Pain Postoperative MESH: Humans Orthopaedic surgery Rehabilitation Ambulatory surgery MESH: Patient Outcome Assessment MESH: Quality of Life MESH: Analgesics Opioid Catastrophising MESH: Anesthetics Local MESH: Orthopedic Procedures Continuous nerve block Opioids Analgesics Opioid Patient Outcome Assessment MESH: Analgesia Anesthesiology and Pain Medicine Quality of Life Humans Orthopedic Procedures Analgesia Anesthetics Local MESH: Pain Postoperative [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | British Journal of Anaesthesia British Journal of Anaesthesia, 2022, 129 (3), pp.435-444. ⟨10.1016/j.bja.2022.05.039⟩ |
| ISSN: | 0007-0912 0272-0965 1471-6771 |
| Popis: | Background: The optimal approach to improving patient experience and analgesia after ambulatory orthopaedic surgery remains unclear.Methods: This multicentre, randomised clinical trial compared single-injection nerve block analgesia with home delivery of continuous nerve block analgesia by remote-controlled electronic pump. The primary outcome was patient-reported satisfaction (Evaluation du Vecu de l'Anesthesie Generale [EVAN-G]; 0-100) assessed on postoperative Day 2. Secondary outcomes focused on pain, opioid consumption, quality of rehabilitation, activity tracking using a wearable electronic device, and 90-day quality of life.Results: We randomly assigned 294 patients to continuous pump delivery or single injection. For subjects with normal level of pain catastrophising (Pain Catastrophizing Scale |
| Databáze: | OpenAIRE |
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