Peripheral nerve catheters: A critical review of the efficacy
| Autor: | Thomas Fichtner Bendtsen, Admir Hadzic, Kjartan Eskjaer Hannig, Rasmus W. Hauritz, Gwendolyne Peeters, Angela Lucia Balocco, Jens Børglum |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
nerve block 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Peripheral nerve anesthetics local Catheterization Peripheral Hospital discharge Medicine postoperative Humans pain Peripheral Nerves Treatment Failure infusion business.industry Opioid use Outcome measures analgesia Nerve Block Peripheral Catheter Anesthesiology and Pain Medicine Anesthesia Nerve block business 030217 neurology & neurosurgery |
| Zdroj: | Hauritz, R W, Hannig, K E, Balocco, A L, Peeters, G, Hadzic, A, Børglum, J & Bendtsen, T F 2019, ' Peripheral nerve catheters : A critical review of the efficacy ', Best Practice & Research: Clinical Anaesthesiology, vol. 33, no. 3, pp. 325-339 . https://doi.org/10.1016/j.bpa.2019.07.015 Hauritz, R W, Hannig, K E, Balocco, A L, Peeters, G, Hadzic, A, Børglum, J & Bendtsen, T F 2019, ' Peripheral nerve catheters : A critical review of the efficacy ', Best Practice and Research: Clinical Anaesthesiology, vol. 33, no. 3, pp. 325-339 . https://doi.org/10.1016/j.bpa.2019.07.015 |
| ISSN: | 1878-1608 |
| DOI: | 10.1016/j.bpa.2019.07.015 |
| Popis: | Continuous peripheral nerve blocks are commonly used for postoperative analgesia after surgery. However, catheter failure may occur due to either primary (incorrect insertion) or secondary reasons (displacement, obstruction, disconnection). Catheter failure results in unanticipated pain, need for opioid use, and risk of readmission or delay in hospital discharge. This review aimed to assess definition and frequency of catheter failure, and discuss the alternatives to prolong duration of single-shot nerve blocks. A literature search was performed on peripheral catheters reporting failure as the main outcome measure. Thirty-three studies met the selection criteria, comprising 2711 catheters. Literature review suggests that peripheral nerve catheters have clinically significant failure rate when the assessment is performed using an objective (imaging) method. Subjective methods of assessment (without imaging) may underestimate the incidence of catheter failure. |
| Databáze: | OpenAIRE |
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