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Related Experiment Videos

Continuous peripheral nerve blocks at home: a review.

Brian M Ilfeld1, F Kayser Enneking

  • 1From the Departments of Anesthesiology and Orthopaedics and Rehabilitation, University of Florida, Gainesville, Florida.

Anesthesia and Analgesia
|May 28, 2005
PubMed
Summary

Continuous perineural infusion via catheters offers extended postoperative pain relief beyond 16 hours, enabling outpatient care. This review covers benefits, risks, and practical aspects of home-based infusion for enhanced patient recovery.

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Area of Science:

  • Anesthesiology
  • Pain Management
  • Regional Anesthesia

Background:

  • Single-injection regional nerve blocks typically provide limited postoperative analgesia (12-16 hours).
  • Perineural catheter infusion offers a method to extend the duration of postoperative pain relief.
  • Advancements in portable infusion pumps facilitate outpatient use of perineural techniques.

Purpose of the Study:

  • To review published data on continuous perineural local anesthetic infusion for postoperative analgesia.
  • To highlight key considerations for home-based perineural infusion therapy.
  • To provide guidance on indications, patient selection, and management of this analgesic technique.

Main Methods:

  • Systematic review of published literature on perineural catheter infusions for postoperative pain management.

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  • Analysis of data concerning benefits, risks, indications, and patient selection.
  • Evaluation of practical aspects including catheter and pump technology, dosing, and home-care considerations.

    • Main Results:

    • Continuous perineural infusion can significantly extend the duration of effective postoperative analgesia.
    • The technique is feasible for outpatient settings with modern infusion devices.
    • Key factors for successful home-based infusion include appropriate patient selection and management protocols.

    Conclusions:

    • Perineural catheter infusion is a viable strategy for prolonged postoperative analgesia, particularly in the outpatient setting.
    • Careful consideration of benefits, risks, and logistical aspects is crucial for implementing home-based perineural infusion.
    • This technique represents an advancement in multimodal pain management, improving patient recovery and satisfaction.