Continuous Preperitoneal Infusion of Ropivacaine Provides Effective Analgesia and Accelerates Recovery after Colorectal Surgery

Beaussier, Marc; El’Ayoubi, Hanna; Schiffer, Eduardo; Rollin, Maxime; Parc, Yann; Mazoit, Jean‐Xavier; Azizi, Louisa; Gervaz, Pascal; Rohr, S.; Biermann, Céline; Lienhart, A.; Eledjam, Jean‐Jacques

doi:10.1097/01.anes.0000278903.91986.19

Cited by 263 publications

(197 citation statements)

References 32 publications

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“…Preperitoneal infusion of ropivacaine after colorectal surgery resulted in improved pain relief, opioid-sparing and earlier recovery of bowel function (Beaussier et al, 2007 Level II). …”

Section: Wound Infiltration Including Wound Cathetersmentioning

confidence: 99%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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Objective: To explore opioid use by aged care facility residents before and after initiation of transdermal opioid patches. Design: A cross‐sectional cohort study, analysing pharmacy data on individual patient supply between 1 July 2008 and 30 September 2013. Setting: Sixty residential aged care facilities in New South Wales. Participants: Residents receiving an initial opioid patch during the study period. Main outcome measure: The proportion of residents who were opioid‐naive in the 4 weeks prior to patch initiation was determined. In addition, the patch strength at initiation and the daily dose of transdermal patches and of additional opioids 1 month after initiation were determined. Results: An opioid patch was initiated in 596 of 5297 residents (11.3%: 2.6% fentanyl, 8.7% buprenorphine) in the 60 residential aged care facilities. The mean age at initiation was 87 years, and 74% of the recipients were women. The proportion of recipients who were opioid‐naive before patch initiation was 34% for fentanyl and 49% for buprenorphine. Most were initiated at the lowest available patch strength, and the dose was up‐titrated after initiation. Around 15% of fentanyl users and 10% of buprenorphine users needed additional regular opioids after patch initiation. Conclusions: The results suggest some inappropriate initiation of opioid patches in Australian residential aged care facilities. Contrary to best practice, a third of residents initiated on fentanyl patches were opioid‐naive in the 4 weeks before initiation.

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“…Preperitoneal infusion of ropivacaine after colorectal surgery resulted in improved pain relief, opioid-sparing and earlier recovery of bowel function (Beaussier et al, 2007 Level II). …”

Section: Wound Infiltration Including Wound Cathetersmentioning

confidence: 99%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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“…17 This includes paravertebral block for thoracotomy, pre-peritoneal local anaesthetic infusion following laparotomy and caesarean section, and local infiltration analgesia for knee replacement. [18][19][20][21][22] Local anaesthetic wound infusions can have significant benefits in procedures as diverse as open nephrectomy, mastectomy and inguinal hernia repair. [23][24][25] The transversus abdominis plane block ( Fig.…”

Section: Regional Analgesiamentioning

confidence: 99%

Dental note: Postoperative pain management

Daly¹

2013

Aust Prescr

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“…Recently, other modalities such as transversus abdominis plane (TAP) blocks and wound irrigation (PainBuster®) with local anaesthetic (0.2% ropivacaine®) have shown a reduction in use of opiates and improvement in patient mobilisation in the early post-operative period (Bamigboye and Hofmeyr 2009;Beaussier, et al 2007). …”

Section: Peri-operative Components Of Eras Protocolsmentioning

confidence: 99%