Is outpatient continuous regional analgesia more effective and equally safe than single-shot peripheral nerve blocks after ambulatory orthopedic surgery?

Minerva anestesiologica
Andrea SaporitoJosé A Aguirre

Abstract

Continuous regional analgesia is an established technique for effective postoperative pain treatment, particularly after orthopedic surgical procedures. Even if it has been increasingly applied to the outpatient setting as well, many anesthesiologists are still reluctant to discharge patients with a perineural catheter in place. Aim of this review was to clarify the evidences about safety and effectiveness of outpatient continuous peripheral nerve blocks. A systematic review of all prospective, randomized, double-blinded, placebo-controlled trials of the last 20 years on outpatient continuous peripheral nerve blocks after ambulatory orthopedic surgery was performed, using both PubMed and OVID databases were. Study quality was assessed using the modified Jadad Scale. Primary outcomes were pain at 24 and 48 hours and morphine consumption. Five studies matched the inclusion criteria and were considered of good quality to be included in the review process. All these studies consistently showed a better pain control both at rest and during movement within the first postoperative day, leading to a reduced opioid consumption in patients treated with outpatient continuous regional analgesia. However, only three studies showed these adv...Continue Reading

Citations

Oct 22, 2019·Minerva anestesiologica·Xavier CapdevilaAlparslan Apan

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