Document Detail

Introduction of continuous regional analgesia via wound catheters in a peripheral hospital.
MedLine Citation:
PMID:  20953219     Owner:  NLM     Status:  MEDLINE    
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.
Ei Thu Aung; Pascale Fluri; Semisi Aiono
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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    
Department of Surgery, Wanganui Hospital, Wanganui, New Zealand.
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MeSH Terms
Aged, 80 and over
Anesthesia, Conduction / instrumentation*
Anesthetics, Local / administration & dosage*
Catheterization / instrumentation*
Follow-Up Studies
Hospitals, Rural*
Middle Aged
New Zealand
Pain Measurement
Pain, Postoperative / therapy*
Retrospective Studies
Treatment Outcome
Reg. No./Substance:
0/Anesthetics, Local
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

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