Use of a modified epidural catheter for analgesia after iliac crest bone procurement

Continuous Bupivacaine Infusion Post-Iliac Crest Bone Graft Harvesting in Pediatric Cleft Surgery: Role and Comparison with Ketorolac

“…Infiltration of the deep and/or superficial layers of the wound with local anesthetic can decrease pain and opioid consumption (Todd and Reed, 1991; Rudman, 1997; Hoard et al, 1998); however, the effects tend to be short lived. Local anesthetics may also be injected intermittently or continuously into the wound via an indwelling catheter inserted at the time of surgery (Brull et al, 1992; Wilkes and Thomas, 1994; Kennedy and Hiranaka, 1995; Green, 1996; Gundes et al, 2000; Puri et al, 2000; Bonvini et al, 2004; Blumenthal et al, 2005). A recent retrospective study examined the effects of an iliac crest infusion of bupivacaine in pediatric patients (Sbitany et al, 2010).…”

“…Numerous studies have shown a significant reduction in pain scores and opioid consumption using intermittent or continuous injection of local anesthetic into the wound via an indwelling catheter inserted at the time of surgery (Brull et al, 1992; Wilkes and Thomas, 1994; Kennedy and Hiranaka, 1995; Green, 1996; Gundes et al, 2000; Puri et al, 2000; Bonvini et al, 2004; Blumenthal et al, 2005; Sbitany et al, 2010). A single study investigating the effects of intravenous ketorolac on postoperative ICBG pain did not detect a reduction in morphine consumption, although there was a trend toward lower use (Dawson et al, 1996).…”

Pain Medicine in Oral and Maxillofacial Surgery

“…Corticosteroids, like dexamethasone and methylprednisolone, given perioperatively, have appeared to lessen postoperative pain in orthognathic and third molar surgery, with negligible unfavorable sequelae reported . [36][37][38][39][40][42][43][44][45][46][47][48]…”

Catheter-Based Donor Site Analgesia After Rib Grafting: A Prospective, Randomized, Double-Blinded Clinical Trial Comparing Ropivacaine and Bupivacaine

“…2 Bolus infusion of anesthetic agents through an epidural catheter to provide sustained analgesia has been described after iliac bone graft harvesting. 3,4 Ropivacaine is a new, long-acting drug that, like bupivacaine, belongs to pipecoloxylidide group of local anesthetics. 5 Bupivacaine has been used for more than 30 years 6 ; however, ropivacaine is unique in its profound anesthetic potency.…”