• Chirurgie de la main · Oct 2008

    [Postoperative analgesia with continuous intra-articular infusion of ropivacaine following trapeziectomy].

    • P Pelissier, L Svartz, S Rakotondriamihary, K Nouette-Gaulin, and V Dousset.
    • Service de chirurgie plastique-main, centre F.-X.-Michelet, groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France. philippe.pelissier@chu-bordeaux.fr
    • Chir Main. 2008 Oct 1;27(5):222-6.

    ObjectivesA pilot study was implemented to evaluate the efficacy of patient controlled analgesia (PCA) with continuous intra-articular infusion of ropivacaine following trapeziectomy with ligament reconstruction and tendon interposition.MethodsTwelve patients were prospectively included. A catheter was placed into the trapezium void and connected to a PCA pump set on a continuous intra-articular infusion rate of ropivacaine: 2mg/ml. Patients were allowed to deliver additional boluses when analgesia was incomplete.ResultsPain was evaluated less than 3/10 (Numeric Scale Evaluation) by 92% of the patients during the first 48 h. No toxicity of the local anaesthetic nor catheter-related complication were reported.ConclusionThis preliminary study showed continuous basal and bolus infusion of ropivacaine through a single catheter placed into the trapezium void to provide an excellent postoperative pain control and to be related to a high patient's satisfaction level.

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