Surgeon-Placed Continuous Wound Infusion Pain Catheters Markedly Decrease Narcotic Use and Improve Outcomes After Pancreatic Tumor Resection
| العنوان: | Surgeon-Placed Continuous Wound Infusion Pain Catheters Markedly Decrease Narcotic Use and Improve Outcomes After Pancreatic Tumor Resection |
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| المؤلفون: | Lyonell B. Kone, Ajay V. Maker, Nicholas Kunda, Thuy B. Tran |
| المصدر: | Annals of Surgical Oncology. 28:2287-2295 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Spirometry, medicine.diagnostic_test, medicine.drug_class, business.industry, medicine.medical_treatment, Retrospective cohort study, Odds ratio, 030230 surgery, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Oncology, Opioid, Pancreatic tumor, 030220 oncology & carcinogenesis, Anesthesia, Pancreatectomy, medicine, Antiemetic, Surgery, Onset of action, business, medicine.drug |
| الوصف: | Pancreatectomy results in significant postoperative pain and typically requires opioid analgesia for adequate pain control. Local anesthetics may decrease postoperative pain and opioid requirements but can be limited by onset of action, duration of effect, and inability to titrate dosing after administration. This can be overcome by surgeon placement of tunneled peri-incisional catheters with continuous wound infusion (CWI). This retrospective cohort study analyzed patients undergoing open pancreatic tumor resection. All the patients received patient-controlled analgesia (PCA), enabling an objective comparison of opioid requirements, and underwent the same recovery pathway. The patients received CWI (n = 45), PCA alone (n = 11), or epidural analgesia (EA) (n = 9). The primary outcome was total opioid use in terms of intravenous morphine milligram equivalents (MMEs) and patient-reported pain scores on a numeric rating scale (NRS) of 0 to 10. No differences in baseline patient or tumor characteristics were observed. In both the uni- and multivariate analyses, CWI was associated with lower opioid use than PCA (MME, 83 vs 207 mg; p = 0.004) or EA (MME, 83 vs 156 mg; p |
| تدمد: | 1534-4681 1068-9265 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::3d671e507faaceda830aad7bd75082a8 https://doi.org/10.1245/s10434-020-09067-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........3d671e507faaceda830aad7bd75082a8 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15344681 10689265 |
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