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Continuous Peripheral Nerve Blocks
EP27416
Continuous Peripheral Nerve Blocks
Submitted on 15 Apr 2018

Kaeli McDermott
Nova Southeastern University
This poster was presented at AAAA
Poster Views: 301
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Poster 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


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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