Document Detail


Introduction of continuous regional analgesia via wound catheters in a peripheral hospital.
MedLine Citation:
PMID:  20953219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To review the effectiveness of continuous regional analgesia (CRA) via wound catheters after abdominal surgery in a district general hospital (Wanganui, New Zealand). METHODS: Retrospective review of postoperative analgesia after CRA via wound catheters was introduced (April 2008 to December 2008). Pain scores, HDU stay, opiate use and complications were recorded. RESULTS: Fifty-four patients' notes have been reviewed after elective and emergency laparotomies. Twenty-seven had WC (± patient controlled analgesia [PCA]), 15 had PCA only, 12 had epidural (± PCA). Resting pain scores were nil or zero in 18/27 (66.7%) wound catheter, 9/15 (60%) PCA and 5/12 (41.7%) epidural patients. Moderate/severe pain on movement was scored in patients 5/27 (18.5%) with wound catheter, 6/15 (40%) with PCA, 5/12 (41.7%) with epidural catheters. A single PCA syringe lasted over 24 hours in 18/27 (66.7%) wound catheter, 6/15 (40%) PCA, and 5/8 (63%) epidural + PCA patients. Eight adverse effects were seen; 4 wound infections (2 wound catheter, 1 PCA, 1 epidural patient) and 4 blockages of epidural catheters in epidural group. No adverse effect was found directly related to the WC. CONCLUSIONS: Continuous regional analgesia via wound catheters provides effective and safe postoperative analgesia for surgical patients in a small district general hospital. Used as part of a multimodal approach it allows easy step-down from HDU to surgical wards. This technique has been readily accepted over the year by theatre, HDU, ward, and anaesthetics colleagues.
Authors:
Ei Thu Aung; Pascale Fluri; Semisi Aiono
Related Documents :
16815189 - Preliminary findings for preemptive analgesia with inhaled morphine: efficacy in septop...
9195349 - Intrathecal morphine for postoperative analgesia following repair of frontal encephaloc...
2810249 - Patient-controlled analgesia in gynecologic oncology. a comparative analysis.
11369159 - Long-term observations of patients receiving transdermal fentanyl after a randomized tr...
8485789 - A comparison of epidural tramadol and epidural morphine for postoperative analgesia.
14740589 - Bilateral interpleural versus lumbar epidural bupivacaine-morphine analgesia for upper ...
14711719 - Factors associated with success in first-time trabeculectomy for patients at low risk o...
1080949 - Coronary artery bypass in patients over 70 years of age: indications and results.
19430389 - Topical administration of diclofenac (1%) in the prevention of miosis during vitrectomy.
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-10-15
Journal Detail:
Title:  The New Zealand medical journal     Volume:  123     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  25-31     Citation Subset:  IM    
Affiliation:
Department of Surgery, Wanganui Hospital, Wanganui, New Zealand. etaung@yahoo.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anesthesia, Conduction / instrumentation*
Anesthetics, Local / administration & dosage*
Catheterization / instrumentation*
Female
Follow-Up Studies
Hospitals, Rural*
Humans
Laparotomy
Male
Middle Aged
New Zealand
Pain Measurement
Pain, Postoperative / therapy*
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Local
Comments/Corrections
Comment In:
N Z Med J. 2010 Oct 15;123(1324):9-11   [PMID:  20953216 ]

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


Previous Document:  The excess cost associated with healthcare-associated bloodstream infections at Auckland City Hospit...
Next Document:  Ten-year review of intussusception at Starship Hospital: 1998-2007.