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Forefoot postoperative continuous pain control by nonelectronic device

F Barca1, E Bertellini, A Siniscalchi

  • 1Institute of Orthopedics, University of Modena, Italy.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|January 1, 1995
PubMed
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Continuous anesthetic infusion effectively managed postoperative pain in forefoot surgery patients. This system provided significant pain relief for most patients, reducing the need for additional pain medication.

Area of Science:

  • Anesthesiology
  • Orthopedic Surgery
  • Pain Management

Background:

  • Postoperative pain is a significant concern following forefoot surgery.
  • Effective pain management is crucial for patient recovery and satisfaction.
  • Traditional pain management strategies may have limitations.

Purpose of the Study:

  • To evaluate the efficacy of a continuous anesthetic infusion system for managing postoperative pain in forefoot operations.
  • To assess the effectiveness of the Single-Day Baxter Infusor in a clinical setting.
  • To determine the level of pain control achieved and the need for supplementary analgesia.

Main Methods:

  • A continuous infusion system delivering anesthetic into the malleolar internal space was employed.
  • The system was used in 145 patients undergoing forefoot surgery.

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  • Pain levels were assessed using a numeric scale (0-5).

    • Main Results:

    • The system effectively controlled postoperative pain in 110 patients (pain score 0-1).
    • Twenty-five patients reported mild pain (score 2), primarily in the dorsal hallux or deep peroneal area.
    • Ten patients experienced significant pain (score 4-5) and required nonsteroidal anti-inflammatory drugs.

    Conclusions:

    • Continuous anesthetic infusion via the Single-Day Baxter Infusor is an effective method for managing postoperative pain after forefoot surgery.
    • The system demonstrates a high success rate in pain reduction for the majority of patients.
    • Further investigation may be warranted for cases requiring additional pain management interventions.