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Continuous Peripheral Nerve Blocks
EP27416
Poster Title: Continuous Peripheral Nerve Blocks
Submitted on 15 Apr 2018
Author(s): Kaeli McDermott
Affiliations: Nova Southeastern University
This poster was presented at AAAA
Poster Views: 523
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Poster Information
Abstract: A continuous peripheral nerve block is type of pain management that involves the insertion of a catheter near the surgical site which, will be connected to an infusion pump that will infuse local anesthetics for site specific pain control. The catheter can then be connected to a portable pump which will allow a patient to experience the post-operative effects of the local anesthetic from the convenience of their home. This will result in a shorter hospital stay, and a faster, mobile and comfortable recovery.

The use of infusion pumps will eliminate the unwanted side effects of opioids, which are now the leading choice of pain management for post-op care. (Nausea/Vomiting, Constipation, Sedation, Liver damage, and Dependence)

Documented benefits appear to be dependent on successfully improving analgesia, and include decreasing baseline, dynamic pain, supplemental analgesic requirements, opioid-related side effects, and sleep disturbances (Ilfeld, 2011).

Currently, the standard treatment of post-operational care includes, nerve blocks (non-continuous), IV Opioids, Oral Opioids, and pain patches.

Disadvantages:
More pain, more frequently (increasing the dose and amount of medication patients take)
Unwanted side effects
Slower recovery period due to immobility
Summary:
Due to their benefits of minimal side effects, easy patient use, and analgesic effects, continuous peripheral nerve blocks can become the future of post-operative pain management. The infusion pumps’ lightweight and mobile structure will prove to attract many patients who are often on the go and won’t cause their pain to hold them back no longer. This is important for the anesthesia community in helping us provide the up most amount of care and compassion for our patients.
References:
Allen, Hugh W. MD; Liu, Spencer S. MD; Ware, Paul D. MD; Nairn, Craig S. MD; Owens, Brian D. MD (1998). Peripheral Nerve Blocks Improve Analgesia After Total Knee Replacement Surgery. Anesthesia and Analgesia, 87, 93-97.

Glass, Peter S. A.Swenson, Jeffrey D. MD*; Bay, Nathan MD*; Loose, Evelyn MD*; Bankhead, Byron MD*; Davis, Jennifer MD*; Beals, Timothy C. MD†; Bryan, Nathaniel A. MD†; Burks, Robert T. MD†; Greis, Patrick E. MD† (2006). Outpatient Management of Continuoys Peripheral Nerve Catheters Placed Using Ultrasound Guidance. Anesthesia & Analgesia, 103, 1436-1443

Greeley, William J. Section EditorDadure, Christophe MD; Pirat, Philippe MD; Raux, Olivier MD; Troncin, Rachel MD; Rochette, Alain MD; Ricard, Christine MD; Capdevila, Xavier MD, PhD, (2003). Perioperative Continuous Peripheral Nerve Blocks with Disposable Infusion Pumps. Anesthesia and Analgesia, Vol 97, 687-690. .

Ilfeld, Brian. Continuous Peripheral Block. (2011). Anesthesia and Anal
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