Save
PERINEURAL CATHETERS. A PILOT PROJECT
ESRA Academy. Suiter C. Sep 8, 2016; 138390
Topic: Peripheral Nerve Blocks
Dr. Cillian Suiter
Dr. Cillian Suiter

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Perineural catheters, also known as continuous peripheral nerve blocks, are a well validated analgesic technique. The aim of this audit project was to establish a benchmark of the use of perineural catheters in Tallaght hospital including the time & date of insertion and indications for use, whilst also evaluating their analgesic efficacy.

Methods:

 

A data collection sheet was filled out by a healthcare professional for each patient that received a perineural catheter. The data included time/date of insertion, post operative pain scores in recovery and on the ward using the verbal rating scale (VRS), analgesic consumption, time to first PRN opioid analgesic required and patient satisfaction.

The patients were followed for 48 hours or until the catheter was removed. The pain was recorded at 6 hours, 12 hours, 24 hours and 48 hours post operatively. 

Results:

23 Catheters inserted between May 2015 – March 2016. 11 amputations (one patient had a 2nd catheter inserted), 2 polytrauma patients (paravertebral/popliteal), 7 upper limb/shoulder replacement procedures & 2 ankle procedures. 64 % lower limb procedures (amputation and non-amputation) and 28% upper limb procedures required opioid rescue analgesia in recovery. Overall patient satisfaction was high.




Conclusions:

As expected pain scores were highest, required the most rescue analgesia and had the shortest time to first PRN needed on the ward for amputations. However the results of this pilot study suggest that pain even for these patients can be controlled. The study also shows perineural catheters are very effective in post op pain relief for upper limb surgeries. 

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings