Document Detail


Decreased narcotic use with an implantable local anesthetic catheter after deep inferior epigastric perforator flap breast reconstruction.
MedLine Citation:
PMID:  19461271     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluated narcotic use after deep inferior epigastric perforator flap breast reconstruction when a local anesthetic catheter was used. A retrospective analysis was performed comparing 40 consecutive control patients (no catheter) to 40 consecutive study patients who had received a pain pump catheter. The catheter was left in the abdomen for 72 hours. Using an equianalgesic table, all narcotic doses (oral and intravenous) were converted to intravenous morphine equivalents. Initial average 24-hour morphine requirement for the control group was 42 mg compared with 33 mg for the study group (P = 0.04). Total hospitalization average morphine requirement for the control group was 71 mg compared with 55 mg for the catheter group (P = 0.03). The use of an implantable local anesthetic catheter placed in the abdomen can decrease narcotic use in the postoperative period after deep inferior epigastric perforator flap breast reconstruction.
Authors:
James H Boehmler; Mark L Venturi; Maurice Y Nahabedian
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  62     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-22     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  618-20     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Georgetown University Hospital, 1st Floor PHC, 3800 Reservoir Rd, Washington, DC 20007, USA. jayboehmler@mac.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen / surgery
Adult
Analgesics, Opioid / administration & dosage*
Anesthesia, Local
Breast Neoplasms / surgery*
Catheters, Indwelling
Epigastric Arteries
Female
Humans
Mammaplasty*
Middle Aged
Pain, Postoperative / drug therapy,  surgery,  therapy*
Retrospective Studies
Surgical Flaps / blood supply*
Chemical
Reg. No./Substance:
0/Analgesics, Opioid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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