PROSPECT guideline for hallux valgus repair surgery: a systematic review and procedure‐specific postoperative pain management recommendations

Korwin-Kochanowska, Katarzyna; Potié, Arnaud; El‐Boghdadly, Kariem; Rawal, Narinder; Joshi, Girish P.; Albrecht, Éric

doi:10.1136/rapm-2020-101479

Cited by 38 publications

(21 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ankle blocks allows safe and long duration analgesia and anesthesia while providing quick mobilization. 6 2-1 The innervation of the foot is provided by: 7 -The terminal branch of the femoral nerve: the saphenous nerve -The two terminal branches of the sciatic nerve • Common peroneal nerve -The common peroneal nerve divides into • Deep peroneal nerve • Superficial peroneal nerve • Tibial nerve -The tibial nerve innervates a large portion of the foot.…”

Section: Sp3mentioning

confidence: 99%

SP3 Best RA technique for ankle and foot ambulatory surgery

Delbos

2022

Invited Speakers

View full text Add to dashboard Cite

The first significant cornerstone of regional anesthesia, which has led to its widespread use, is the clinical utilization of ultrasound in block applications. Moreover, many different fascial plane block techniques have been described in parallel with the progress in knowledge in sonoanatomy and the success of the previously defined methods. It could be said that the next big step, especially for 'pediatric regional anesthesia', is the implementation of fascial plane blocks in daily practice. Caudal block has long been the most applied technique for the pediatric age group. However, as known, the limited indications of caudal blocks along with the refrained complication profile make clinicians hesitate. So the clinical practice was limited to some classic best-known techniques and some experienced practitioners. Unfortunately, it is a well-known fact that 80% of pediatric patients undergoing surgery experience postoperative pain due to inadequate analgesia, and this undertreatment could lead to the development of chronic pain. 1 A multicentric study showed that chronic pain could be seen up to 6.6% after common surgeries in pediatrics. 2 With the introduction of 'Fascial Plane Blocks' into the practice, the clinicians started to have many options for daily cases. The simplicity, safety, and ease of the learning curve of these techniques make them find their place in current practice. Fascial plane blocks provide new avenues for delivering opioid-sparing analgesia while minimizing invasiveness and risks associated with older techniques. They are safe and effective options for treating acute postoperative pain and for both the treatment and prevention of chronic pain in infants and children. Transversus abdominis plane(TAP) block might be the first 'game-changer', but now the trend is going on with multiple novel fascial plane blocks covering various sensory distributions. However, the data about these blocks are limited, and the debate about their efficacy continues.

show abstract

Section: Sp3mentioning

confidence: 99%

SP3 Best RA technique for ankle and foot ambulatory surgery

Delbos

2022

Invited Speakers

View full text Add to dashboard Cite

show abstract

“…Even when an outcome is widely reported, the parameters by which it is recorded such as measurement scale, timings and definitions often vary among studies. Inconsistent outcome and outcome parameter selection limits the robust comparison of data between trials and therefore limits the comparison of techniques 2. While core and extended outcome sets for perioperative trials have recently been published,3 none have yet been agreed on specifically for regional anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Core outcome set for peripheral regional anesthesia research: a systematic review and Delphi study

Hill

Ashken

West

et al. 2022

Reg Anesth Pain Med

Self Cite

View full text Add to dashboard Cite

Background/importanceThere is heterogeneity among the outcomes used in regional anesthesia research.ObjectiveWe aimed to produce a core outcome set for regional anesthesia research.MethodsWe conducted a systematic review and Delphi study to develop this core outcome set. A systematic review of the literature from January 2015 to December 2019 was undertaken to generate a long list of potential outcomes to be included in the core outcome set. For each outcome found, the parameters such as the measurement scale, timing and definitions, were compiled. Regional anesthesia experts were then recruited to participate in a three-round electronic modified Delphi process with incremental thresholds to generate a core outcome set. Once the core outcomes were decided, a final Delphi survey and video conference vote was used to reach a consensus on the outcome parameters.ResultsTwo hundred and six papers were generated following the systematic review, producing a long list of 224 unique outcomes. Twenty-one international regional anesthesia experts participated in the study. Ten core outcomes were selected after three Delphi survey rounds with 13 outcome parameters reaching consensus after a final Delphi survey and video conference.ConclusionsWe present the first core outcome set for regional anesthesia derived by international expert consensus. These are proposed not to limit the outcomes examined in future studies, but rather to serve as a minimum core set. If adopted, this may increase the relevance of outcomes being studied, reduce selective reporting bias and increase the availability and suitability of data for meta-analysis in this area.

show abstract

“…e minimally invasive operation of HV can reduce the degree of postoperative pain. In recent years, some foot and ankle surgeons have used a new invasive intramedullary nail device to treat mild to severe hallux valgus, achieving good treatment e ects and low postoperative complications and recurrence rates [5,6]. Chen et al followed up on 308 patients who had undergone HV surgery and found that 31% still had residual pain six months after surgery [7].…”

Section: Introductionmentioning

confidence: 99%

“…Pain relief is the primary goal of HV surgery, malformation correction is the secondary goal [8]. e analgesic regimen for HV orthopedics should include, in the absence of contraindication, paracetamol and a nonsteroidal anti-inflammatory drug or cyclo-oxygenase-2 selective inhibitor administered preoperatively or intraoperatively and continued postoperatively, along with systemic steroids and postoperative opioids for rescue analgesia [6]. Patients with HV experience moderate to severe pain for 2-3 days after surgery [9].…”

Section: Introductionmentioning

confidence: 99%

Pain Management of Hallux Valgus Surgery Is Achieved by Cocktail Therapy

Xie

Zhu

et al. 2022

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Background. Hallux valgus is a relatively common forefoot disease in clinical practice. The aim of our study was to assess the role of local cocktail drugs and postoperative pain after hallux valgus surgery. Methods. A retrospective case-control study was conducted to analyze 75 moderate to severe hallux valgus patients from June 1, 2018 to December 1, 2019. All patients were divided into cocktail and control groups according to whether the cocktail therapy was used or not after the operation. The anesthesiologist did not provide analgesic treatment other than nerve block anesthesia and intravenous anesthesia, such as analgesic pumps. The operative region of the cocktail group received a mixture of 10 ml of 0.75% ropivacaine, 10 ml of flurbiprofen axetil injection, and 1 ml of compound betamethasone injection, whereas the control group received nothing in the surgical spot. We recorded patients’ VAS scores preoperatively and at 6, 24 hours postoperatively; the length of hospital stay and the number of hospitalization expenses; the scores of Kolcaba comfort level; and the scores of Pittsburgh sleep quality. Result. There was no significant difference in age or sex between the two groups. The VAS scores at 6 and 24 hours postoperatively were significantly lower in the cocktail group. The average length of hospital stay was 8.24 days in the control group and 3.73 days in the cocktail group. The average total hospitalization cost of the control group was ¥28285.16, and that of the cocktail group was ¥22366.31. In expenses of total hospitalization costs, the cocktail group was lower than the control group. Kolcaba’s comfort various scores and the total score of the cocktail group were higher than the control group. The total score of PSQI and all dimensions in the experimental group were lower than those in the control group. Conclusion. We found a significant difference in the results of postoperative pain management except for age, sex, and hospitalization expenses. After hallux valgus surgery, inject cocktail drugs around the first metatarsophalangeal joint did reduce postoperative pain level. Level of Evidence. Level III, case-control study.

show abstract

PROSPECT guideline for hallux valgus repair surgery: a systematic review and procedure‐specific postoperative pain management recommendations

Cited by 38 publications

References 72 publications

SP3 Best RA technique for ankle and foot ambulatory surgery

SP3 Best RA technique for ankle and foot ambulatory surgery

Core outcome set for peripheral regional anesthesia research: a systematic review and Delphi study

Pain Management of Hallux Valgus Surgery Is Achieved by Cocktail Therapy

Contact Info

Product

Resources

About