| Introduction of continuous regional analgesia via wound catheters in a peripheral hospital. | |
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MedLine Citation:
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PMID: 20953219 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ei Thu Aung; Pascale Fluri; Semisi Aiono |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-10-15 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 123 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-18 Completed Date: 2010-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 25-31 Citation Subset: IM |
Affiliation:
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Department of Surgery, Wanganui Hospital, Wanganui, New Zealand. etaung@yahoo.com. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Anesthetics, Local |
| Comments/Corrections | |
Comment In:
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N Z Med J. 2010 Oct 15;123(1324):9-11
[PMID:
20953216
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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