Regional anesthesia and pain medicine
-
Reg Anesth Pain Med · Mar 2002
Randomized Controlled Trial Comparative Study Clinical TrialContinuous subgluteus sciatic nerve block after orthopedic foot and ankle surgery: comparison of two infusion techniques.
To compare continuous infusion or a patient-controlled technique for postoperative analgesia after foot surgery, using a new subgluteus approach for continuous sciatic nerve block. ⋯ The continuous subgluteus sciatic nerve block represents an easy and reliable option for postoperative analgesia after foot surgery; using a patient controlled rather than a continuous infusion technique reduces the consumption of local anesthetic solution without affecting the quality of pain relief.
-
Reg Anesth Pain Med · Mar 2002
Randomized Controlled Trial Clinical TrialThe effect of single-injection femoral nerve block on rehabilitation and length of hospital stay after total knee replacement.
Continuous-infusion femoral nerve block (FNB) improves analgesia and rehabilitation after total knee replacement. In this study, we investigated the efficacy of single-injection FNB to achieve similar results. ⋯ Single-injection FNB provided effective analgesia, facilitated early ambulation, and reduced the length of acute hospitalization in patients undergoing total knee replacement.
-
Reg Anesth Pain Med · Mar 2002
Randomized Controlled Trial Clinical TrialBuprenorphine added to the local anesthetic for axillary brachial plexus block prolongs postoperative analgesia.
Buprenorphine added to local anesthetic solutions for supraclavicular block was found to triple postoperative analgesia duration in a previous study when compared with local anesthetic block alone. That study, however, did not control for potentially confounding factors, such as the possibility that buprenorphine was affecting analgesia through intramuscular absorption or via a spinal mechanism. To specifically delineate the role of buprenorphine in peripherally mediated opioid analgesia, the present study controlled for these 2 factors. ⋯ Buprenorphine-local anesthetic axillary perivascular brachial plexus block provided postoperative analgesia lasting 3 times longer than local anesthetic block alone and twice as long as buprenorphine given by IM injection plus local anesthetic-only block. This supports the concept of peripherally mediated opioid analgesia by buprenorphine.
-
Reg Anesth Pain Med · Mar 2002
A survey of acute pain services in Germany and a discussion of international survey data.
Acute pain services (APS) have been introduced worldwide to improve postoperative pain management. However, data are lacking on organization and quality of these services in Germany. ⋯ As 50% of German APS do not comply with QC, we believe structured policies, as well as quality assurance measures, should be emphasized in the future. A comparison to international survey data showed that APS, in general, often do not consider QC.