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The Role of Continuous Peripheral Nerve Blocks
A continuous peripheral nerve block (cPNB) is provided in the hospital and ambulatory setting. The most common use of CPNBs is in the peri- and postoperative period but different indications have been described like the treatment of chronic pain such as cancer-induced pain, complex regional pain syn...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385590/ https://www.ncbi.nlm.nih.gov/pubmed/22761615 http://dx.doi.org/10.1155/2012/560879 |
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author | Aguirre, José Del Moral, Alicia Cobo, Irina Borgeat, Alain Blumenthal, Stephan |
author_facet | Aguirre, José Del Moral, Alicia Cobo, Irina Borgeat, Alain Blumenthal, Stephan |
author_sort | Aguirre, José |
collection | PubMed |
description | A continuous peripheral nerve block (cPNB) is provided in the hospital and ambulatory setting. The most common use of CPNBs is in the peri- and postoperative period but different indications have been described like the treatment of chronic pain such as cancer-induced pain, complex regional pain syndrome or phantom limb pain. The documented benefits strongly depend on the analgesia quality and include decreasing baseline/dynamic pain, reducing additional analgesic requirements, decrease of postoperative joint inflammation and inflammatory markers, sleep disturbances and opioid-related side effects, increase of patient satisfaction and ambulation/functioning improvement, an accelerated resumption of passive joint range-of-motion, reducing time until discharge readiness, decrease in blood loss/blood transfusions, potential reduction of the incidence of postsurgical chronic pain and reduction of costs. Evidence deriving from randomized controlled trials suggests that in some situations there are also prolonged benefits of regional anesthesia after catheter removal in addition to the immediate postoperative effects. Unfortunately, there are only few data demonstrating benefits after catheter removal and the evidence of medium- or long-term improvements in health-related quality of life measures is still lacking. This review will give an overview of the advantages and adverse effects of cPNBs. |
format | Online Article Text |
id | pubmed-3385590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33855902012-07-03 The Role of Continuous Peripheral Nerve Blocks Aguirre, José Del Moral, Alicia Cobo, Irina Borgeat, Alain Blumenthal, Stephan Anesthesiol Res Pract Review Article A continuous peripheral nerve block (cPNB) is provided in the hospital and ambulatory setting. The most common use of CPNBs is in the peri- and postoperative period but different indications have been described like the treatment of chronic pain such as cancer-induced pain, complex regional pain syndrome or phantom limb pain. The documented benefits strongly depend on the analgesia quality and include decreasing baseline/dynamic pain, reducing additional analgesic requirements, decrease of postoperative joint inflammation and inflammatory markers, sleep disturbances and opioid-related side effects, increase of patient satisfaction and ambulation/functioning improvement, an accelerated resumption of passive joint range-of-motion, reducing time until discharge readiness, decrease in blood loss/blood transfusions, potential reduction of the incidence of postsurgical chronic pain and reduction of costs. Evidence deriving from randomized controlled trials suggests that in some situations there are also prolonged benefits of regional anesthesia after catheter removal in addition to the immediate postoperative effects. Unfortunately, there are only few data demonstrating benefits after catheter removal and the evidence of medium- or long-term improvements in health-related quality of life measures is still lacking. This review will give an overview of the advantages and adverse effects of cPNBs. Hindawi Publishing Corporation 2012 2012-06-18 /pmc/articles/PMC3385590/ /pubmed/22761615 http://dx.doi.org/10.1155/2012/560879 Text en Copyright © 2012 José Aguirre et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Aguirre, José Del Moral, Alicia Cobo, Irina Borgeat, Alain Blumenthal, Stephan The Role of Continuous Peripheral Nerve Blocks |
title | The Role of Continuous Peripheral Nerve Blocks |
title_full | The Role of Continuous Peripheral Nerve Blocks |
title_fullStr | The Role of Continuous Peripheral Nerve Blocks |
title_full_unstemmed | The Role of Continuous Peripheral Nerve Blocks |
title_short | The Role of Continuous Peripheral Nerve Blocks |
title_sort | role of continuous peripheral nerve blocks |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385590/ https://www.ncbi.nlm.nih.gov/pubmed/22761615 http://dx.doi.org/10.1155/2012/560879 |
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