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Review
. 2005 Jun;100(6):1822-1833.
doi: 10.1213/01.ANE.0000151719.26785.86.

Continuous peripheral nerve blocks at home: a review

Brian M Ilfeld  1 , F Kayser Enneking
Affiliations
Review

Continuous peripheral nerve blocks at home: a review

Brian M Ilfeld et al. Anesth Analg. 2005 Jun.

Abstract

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.

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Comment in

  • Concerns with nerve blocks at home.
    Klein SL, Hall DB. Klein SL, et al. Anesth Analg. 2006 Mar;102(3):974; author reply 974. doi: 10.1213/01.ANE.0000199175.80157.A9. Anesth Analg. 2006. PMID: 16492875 No abstract available.

References

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    1. Buckenmaier CC III, Klein SM, Nielsen KC, Steele SM. Continuous paravertebral catheter and outpatient infusion for breast surgery. Anesth Analg 2003;97:715–7.
    1. Ganapathy S, Amendola A, Lichfield R, et al. Elastomeric pumps for ambulatory patient controlled regional analgesia. Can J Anaesth 2000;47:897–902.

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