Seguridad de un catéter multiperforado implantado en la herida quirúrgica para la infusión continua de anestésicos locales en la analgesia post-operatoria

Lluı́s, Fèlix; Simó, Manuel Romero; Peiró, Juan Francisco Márquez; Otaolaurruchi, Juan Selva; Zarco, Antonio

doi:10.1016/j.ciresp.2011.06.002

Cited by 8 publications

(2 citation statements)

References 14 publications

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“…Consequently, wound infiltration with local anesthetics not only provides pain control but also affects inflammatory responses and increases catecholamine, which has an added benefit of enhancing wound healing by increasing wound perfusion and oxygenation 18. In our trial, there were no surgical wound infections, which was consistent with Lluis’s study in which use of an in-site preperitoneal catheter for postoperative anesthesia did not increase the risk for surgical site infection 19. Hence, we again eliminate the anxiety of surgeons that continuous infusion of local anesthetic through a catheter will increase surgical wound infection.…”

Section: Discussionsupporting

confidence: 89%

Efficacy of Postoperative Continuous Wound Infiltration With Local Anesthesia After Open Hepatectomy

Yu¹,

Hong

Yong

2014

The Clinical Journal of Pain

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Objectives:Local anesthetic wound infiltration is widely used as an effective adjunct during multimodal postoperative pain management. The aim of this study was to evaluate the effectiveness of continuous wound infusion of ropivacaine in postoperative pain relief, opioid sparing, incidence of nausea and vomiting, and bowel and liver function improvement in patients undergoing open hepatectomy.Methods:Forty patients undergoing open hepatectomy were enrolled in this prospective, randomized, double-blinded, placebo-controlled trial. Patients were divided into 2 groups: the 0.9% saline continuous infusion group (the control group; n=20) and the ropivacaine continuous infusion group (the Ropi group; n=20). Outcomes measured postoperatively were pain score at rest and on movement, sufentanil consumption, incidence of nausea and vomiting, and sedation score across 48 postoperative hours. Time to bowel recovery, liver function change, mean length of hospitalization, patient satisfaction, and other data after 48 postoperative hours were collected until hospital discharge.Results:Pain scores at rest were lower for the ropivacaine group and reached significance after 8 and 16 hours (P<0.01). Sufentanil consumption (41.50±21.80 vs. 89.70±35.22 μg; P<0.01) after 48 hours, time to bowel recovery (1.80±0.70 vs. 3.15±1.04 d; P<0.01), incidence of nausea and vomiting (1.75±0.72 vs. 2.40±0.68; P<0.05), and mean length of hospitalization (5.6±2.44 vs. 7.35±2.85 d; P<0.01) were significantly reduced, and the sedation score and liver function change were also comparable between the 2 groups. There was no difference with respect to pain scores on movement, nor with respect to patient satisfaction.Conclusions:Surgical wound infusion with ropivacaine after hepatectomy can improve pain relief at rest and accelerate recovery and discharge.

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Section: Discussionsupporting

confidence: 89%

Efficacy of Postoperative Continuous Wound Infiltration With Local Anesthesia After Open Hepatectomy

Yu¹,

Hong

Yong

2014

The Clinical Journal of Pain

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“…The safety of the catheter with regard to SSI might be a concern. Lluis et al 19 reported no significant difference in frequency of SSIs in relation to PPCA. It could be argued that the surgeons might be closing the incision more carefully to deliver an optimized catheter replacement.…”

Section: Discussionmentioning

confidence: 94%

Preperitoneal catheter analgesia is an effective method for pain management after colorectal surgery: the results of 100 consecutive patients

Özer¹,

Yılmazlar²,

Öztürk³

et al. 2014

LRA

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BackgroundIn a previous prospective randomized trial, we showed that local anesthetic infusion using a preperitoneal catheter is an effective postoperative analgesic method following colorectal resections. Over time, we have improved the technique of preperitoneal catheter analgesia. In this prospective cohort study, we report the results of 100 consecutive patients who underwent colorectal resections.Materials and methodsPreperitoneal catheter analgesia was performed via a multihole catheter placed in the preperitoneal space using 10 mL 0.5% levobupivacaine every 4 hours following the operation for the first 3 days. Additional analgesics were used whenever necessary. Postoperative pain was assessed with the visual analog scale score. Short-term clinical outcomes, such as need for systemic analgesics, time to first gas and stool discharge, length of hospital stay, and morbidity, particularly surgical site infections, were reported.ResultsFrom May 2009 to May 2010, 100 consecutive patients were recruited in the study. A total of 83 patients were operated on for malignancy, and the tumor was located in the rectum in 52 patients and in the colon in 31 patients. The median pain score was 4 (0–6), 3 (0–9), 2 (0–8), 1 (0–8), 1 (0–6), 0 (0–6), and 0 (0–3) at postoperative hours 0, 1, 4, 12, 24, 48, and 72, respectively. Additional analgesics were required in 34 patients: 21 of them required only nonsteroidal anti-inflammatory drugs, and 13 patients needed opioids additionally. The median amounts of opioid analgesics and nonsteroidal anti-inflammatory drugs were 1.76±0.78 mg and 6.70±1.18 mg, respectively. However, almost all of the additional analgesics were given in the first 24 hours. Surgical site infections were detected in eight patients.ConclusionPreperitoneal catheter analgesia is an effective analgesic method. When applied and used properly, it may even be used as the sole analgesic method in some patients.

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Utilidad de los catéteres percutáneos para perfusión continua de anestésico local en el manejo del dolor postoperatorio en pacientes sometidos a artrodesis lumbar instrumentada. Estudio de cohortes prospectivas

Ortega-García

García-del-Pino

Auñón-Martín

et al. 2018

Revista Española de Cirugía Ortopédica y Traumatología

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Seguridad de un catéter multiperforado implantado en la herida quirúrgica para la infusión continua de anestésicos locales en la analgesia post-operatoria

Cited by 8 publications

References 14 publications

Efficacy of Postoperative Continuous Wound Infiltration With Local Anesthesia After Open Hepatectomy

Efficacy of Postoperative Continuous Wound Infiltration With Local Anesthesia After Open Hepatectomy

Preperitoneal catheter analgesia is an effective method for pain management after colorectal surgery: the results of 100 consecutive patients

Utilidad de los catéteres percutáneos para perfusión continua de anestésico local en el manejo del dolor postoperatorio en pacientes sometidos a artrodesis lumbar instrumentada. Estudio de cohortes prospectivas

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