&lt;p&gt;Continuous Wound Infiltration of Local Anesthetics in Postoperative Pain Management: Safety, Efficacy and Current Perspectives [Corrigendum]&lt;/p&gt;

Paladini, Giuseppe; Carlo, Stefano Di; Musella, Giuseppe; Petrucci, Emiliano; Scimia, Paolo; Ambrosoli, Andrea Luigi; Cofini, Vincenza; Fusco, Pierfrancesco

doi:10.2147/jpr.s252624

Cited by 5 publications

(7 citation statements)

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“…Wound infiltration of local anaesthetics after surgery is an alternative method of postoperative analgaesia; it acts directly on peripheral nociceptive nerve fibres and has low complication rates, and it could also be used in patients with thrombosis prophylaxis (Paladini et al, 2020). However, a single dose of local anaesthetic may not provide a longlasting effect (Gupta et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Epidural anesthaesia is a good option, but it must be performed by well-trained anesthaesiologists and has the risk of complications such as epidural hematoma, postoperative neurologic deficits, and post-dural puncture headache (Kang et al, 2014). Another modality is to use local anaesthetics for surgical wound infiltration (Paladini et al, 2020). This has shown to be effective although short-acting.…”

Section: Introductionmentioning

confidence: 99%

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Efficiency of Retromuscular Rectus Sheath Block with Continuous Bupivacaine Catheter Infusion After Open Gastrectomy

Ivanovs

Rikmane

Saļuka

et al. 2022

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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Severe pain is a major problem in the early postoperative period after open major upper gastrointestinal surgery. This study aimed to assess the efficiency of rectus sheath block with catheters placed through open access into the retromuscular space in providing effective pain relief. A prospective study was done at Rīga East University Hospital, Latvia. Thirty-nine patients with open gastrectomy were allocated into two groups: 21 patients in the block group and 18 patients in the control group. In the block group, at the end of the operation, two catheters were inserted into the retromuscular plane under the m. rectus abdominis through the open access (using a specially invented technique). After surgery, patients in the block group received continuous 0.125% (10–12 mg/h) bupivacaine infusion through rectus sheath catheters for 72 hours. Patients in the control group received standard postoperative analgaesia. The results showed that postoperative pain at rest was significantly lower in the Block group than in the control group at 48-hour and 72-hour intervals after surgery. Pain on movement in the block group was significantly lower than that in the control group at all postoperative times: at 24, 48, and 72 hours. The median fentanyl requirement range in the postoperative period was significantly lower in the block group (0.5 (0–1.25) mg) than in the control group (2.0 (1.0–3.25) mg (p = 0.001)). Continuous retromuscular rectus sheath infiltration of 0.125% bupivacaine through a rectus sheath catheter after open gastrectomy provides effective postoperative analgaesia in the early postoperative period and significantly reduces opioid consumption.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficiency of Retromuscular Rectus Sheath Block with Continuous Bupivacaine Catheter Infusion After Open Gastrectomy

Ivanovs

Rikmane

Saļuka

et al. 2022

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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“…Postoperative wound infiltration techniques after cesarean have been employed due to their convenience of use and feasibility in terms of cost-effectiveness, administration processes, and adverse effects. The commonly used approach was wound infiltration with local anesthetics alone or coupled with adjuvants [8,13,[17][18][19][31][32][33][34][35][36][37][38][39][40][41][42]. However, recent studies comparing local anesthetics with glucocorticoids, opioids [16,20,36,[43][44][45][46], ketamine [14,32,34,[47][48][49][50], nonsteroidal anti-inflammatory agents [51], alpha 2 agonists [8,52], and magnesium sulphate [37,53,54] are emerging.…”

Section: Description Of the Interventionmentioning

confidence: 99%

Efficacy and safety of wound infiltration modalities for postoperative pain management after cesarean section: a systematic review and network meta-analysis protocol

et al. 2022

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Background Postoperative pain after a cesarean section has negative consequences for the mother during the postoperative period. Over the years, various postoperative pain management strategies have been used following cesarean section. Opioid-based analgesics and landmark approaches have negative side effects, while ultrasound-based regional analgesia necessitates resources and experience, but various wound infiltration adjuvants are innovative with few side effects and are simple to use. The efficacy and safety of each adjuvant, however, are unknown and require further investigation. Objective This network meta-analysis is intended to provide the most effective wound infiltration drugs for postoperative management after cesarean section. Method A comprehensive search will be conducted in PubMed/MEDLINE, Cochrane Library, Science Direct, CINHAL, and LILACS without date and language restrictions. All randomized trials comparing the effectiveness of wound infiltration drugs for postoperative pain management after cesarean section will be included. Data extraction will be conducted independently by two authors. The quality of studies will be evaluated using the Cochrane risk of bias tool, and the overall quality of the evidence will be determined by GRADEpro software. Discussion The rate of postoperative acute and chronic pain is very high which has a huge impact on the mother, family, healthcare practitioners, and healthcare delivery. It is a basic human right to give every patient with postoperative pain treatment that is realistic in terms of resources, technique, cost, and adverse event profile. Systematic review registration PROSPERO CRD42021268774

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“…Sowohl bei der Thorakotomie als auch bei der thorakoskopischen Chirurgie (video-assisted thorascopic surgery, VATS) hat sich gezeigt, dass die lokale Wundinfiltration (LWI) zu niedrigeren Schmerzscores und einem geringeren Analgetikaverbrauch führte. Außerdem konnten die Autoren anderer aktueller Studien zeigen, dass mit der LWI im Vergleich zum Placebo die Patientenzufriedenheit erhöht, die Mobilisation früher erfolgen, und somit der postoperative Krankenhausaufenthalt verkürzt werden konnte [1, 2].…”

Section: Transfer In Die Praxis Von Prof Dr Khosro Hekmat (Köln)unclassified

Multimodale Schmerzbehandlung nach Thorakotomie oder VATS: Eine mögliche Option für die Fast-Track-Chirurgie

Hekmat¹

2022

Kompass Pneumol

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Various regional anesthesia (RA) techniques were shown to reduce pain after lung surgery, but controversies remain regarding the best technique to use to improve recovery. In this observational prospective study, the aim was to assess the efficacy of an RA strategy depending on the surgical approach. Patients who underwent lung surgery were included if an RA was planned following our unit procedure (erector spinae plane block (ESP) for video-assisted thoracic surgery (VATS) and thoracic epidural analgesia (TEA) or intrathecal analgesia (IA) for thoracotomy). Patients were compared according to the RA used. In total, 116 patients were included, 70 (60%), 32 (28%), 14 (12%) in the ESP, TEA and IA groups, respectively. Between Day 1 and Day 3, median NRS values were ≤4 at rest, and <50% patients experienced moderate-to-severe pain in each group. There were no significant differences in opioid consumption and in pain at rest or during chest physiotherapy on Days 1 and 2 between groups. However, patients who received an IA had lower NRS than other groups on Day 0 and 3 and a shorter length of hospital stay in comparison with those who received a TEA. Thus, in our institution, a strategy combining ESP for VATS and TEA, or IA for thoracotomy, allowed for effective analgesia after a lung resection. Interestingly, IA appeared to be more effective than TEA in reducing the length of hospital stay and pain on Day 0 and 3.

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<p>Continuous Wound Infiltration of Local Anesthetics in Postoperative Pain Management: Safety, Efficacy and Current Perspectives [Corrigendum]</p>

Cited by 5 publications

References 0 publications

Efficiency of Retromuscular Rectus Sheath Block with Continuous Bupivacaine Catheter Infusion After Open Gastrectomy

Efficiency of Retromuscular Rectus Sheath Block with Continuous Bupivacaine Catheter Infusion After Open Gastrectomy

Efficacy and safety of wound infiltration modalities for postoperative pain management after cesarean section: a systematic review and network meta-analysis protocol

Multimodale Schmerzbehandlung nach Thorakotomie oder VATS: Eine mögliche Option für die Fast-Track-Chirurgie

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