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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...

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Autores principales: Aguirre, José, Del Moral, Alicia, Cobo, Irina, Borgeat, Alain, Blumenthal, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
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.
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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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