Continuous peripheral nerve blocks at home: A review

被引:137
作者
Ilfeld, BM
Enneking, FK
机构
[1] Univ Florida, Dept Anesthesiol, Gainesville, FL 32610 USA
[2] Univ Florida, Dept Orthopaed & Rehabil, Gainesville, FL 32610 USA
关键词
D O I
10.1213/01.ANE.0000151719.26785.86
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Postoperative analgesia is generally limited to 12-16 h or less after single-injection regional nerve blocks. Postoperative analgesia may be provided with a local anesthetic infusion via a perineural catheter after initial regional block resolution. This technique may now be used in the outpatient setting with the relatively recent introduction of reliable, portable infusion pumps. In this review article, we summarize the available published data related to this new analgesic technique and highlight important issues related specifically to perineural infusion provided in patients' own homes. Topics include infusion benefits and risks, indications and patient selection criteria, catheter, infusion pump, dosing regimen, and infusate selection, and issues related specifically to home-care.
引用
收藏
页码:1822 / 1833
页数:12
相关论文
共 86 条
[1]   CONTINUOUS BLOCKADE OF THE LUMBAR PLEXUS AFTER KNEE SURGERY - A COMPARISON OF THE PLASMA-CONCENTRATIONS AND ANALGESIC EFFECT OF BUPIVACAINE 0.250-PERCENT AND 0.125-PERCENT [J].
ANKERMOLLER, E ;
SPANGSBERG, N ;
DAHL, JB ;
CHRISTENSEN, EF ;
SCHULTZ, P ;
CARLSSON, P .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1990, 34 (06) :468-472
[2]   A METHOD OF CONTINUOUS BRACHIAL PLEXUS BLOCK [J].
ANSBRO, FP .
AMERICAN JOURNAL OF SURGERY, 1946, 71 (06) :716-722
[3]   Neurologic complications of 405 consecutive continuous axillary catheters [J].
Bergman, BD ;
Hebl, JR ;
Kent, J ;
Horlocker, TT .
ANESTHESIA AND ANALGESIA, 2003, 96 (01) :247-252
[4]   A new technique of continuous interscalene nerve block [J].
Boezaart, AP ;
de Beer, JF ;
du Toit, C ;
van Rooyen, K .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1999, 46 (03) :275-281
[5]   Acute and nonacute complications associated with interscalene block and shoulder surgery - A prospective study [J].
Borgeat, A ;
Ekatodramis, G ;
Kalberer, F ;
Benz, C .
ANESTHESIOLOGY, 2001, 95 (04) :875-880
[6]   Evaluation of the lateral modified approach for continuous interscalene block after shoulder surgery [J].
Borgeat, A ;
Dullenkopf, A ;
Ekatodramis, G ;
Nagy, L .
ANESTHESIOLOGY, 2003, 99 (02) :436-442
[7]   Clinical evaluation of a modified posterior anatomical approach to performing the popliteal block [J].
Borgeat, A ;
Blumenthal, S ;
Karovic, D ;
Delbos, A ;
Vienne, P .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2004, 29 (03) :290-296
[8]  
Borgeat A, 2001, ANESTH ANALG, V92, P218
[9]   Patient-controlled interscalene analgesia with ropivacaine 0.2% versus patient-controlled intravenous analgesia after major shoulder surgery - Effects on diaphragmatic and respiratory function [J].
Borgeat, A ;
Perschak, H ;
Bird, P ;
Hodler, J ;
Gerber, C .
ANESTHESIOLOGY, 2000, 92 (01) :102-108
[10]   Continuous paravertebral catheter and outpatient infusion for breast surgery [J].
Buckenmaier, CC ;
Klein, SM ;
Nielsen, KC ;
Steele, SM .
ANESTHESIA AND ANALGESIA, 2003, 97 (03) :715-717