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Regional Catheters for Outpatient Surgery—a Comprehensive Review

  • Mark R. JonesEmail author
  • Julie A. Petro
  • Matthew B. Novitch
  • Adeel A. Faruki
  • Jeffrey B. Bice
  • Omar Viswanath
  • Paragi H. Rana
  • Alan D. Kaye
Other Pain (A. Kaye and N. Vadivelu, Section Editors)
  • 28 Downloads
Part of the following topical collections:
  1. Topical Collection on Other Pain

Abstract

Purpose of Review

This review summarizes and discusses the history of continuous catheter blockade (CCB), its current applications, clinical considerations, economic benefits, potential complications, patient education, and best practice techniques.

Recent Findings

Regional catheters for outpatient surgery have greatly impacted acute post-operative pain management and recovery. Prior to development, options for acute pain management were limited to the use of opioid pain medications, NSAIDS, neuropathic agents, and the like as local anesthetic duration of action is limited to 4–8 h. Moreover, delivery of opioids post-operatively has been associated with respiratory and central nervous depression, development of opioid use disorder, and many other potential adverse effects. CCB allows for faster recovery time, decreased rates of opioid abuse, and better pain control in patients post-operatively.

Summary

Outpatient surgical settings continue to focus on efficiency, quality, and safety, including strategies to prevent post-operative nausea, vomiting, and pain. Regional catheters are a valuable tool and help achieve all of the well-established endpoints of enhanced recovery after surgery (ERAS). CCB is growing in popularity with wide indications for a variety of surgeries, and has demonstrated improved patient satisfaction, outcomes, and reductions in many unwanted adverse effects in the outpatient setting.

Keywords

Outpatient surgery regional anesthesia continuous catheter Enhanced recovery after surgery Local anesthetics 

Notes

Compliance with Ethical Standards

Conflict of Interest

Mark R. Jones, Julie A. Petro, Matthew B. Novitch, Adeel A. Faruki, Jeffrey B. Bice, Omar Viswanath, and Paragi H. rana declare no conflicts of interest. Dr. Kaye is a speaker for Depomed, Inc. and Merck, Inc.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mark R. Jones
    • 1
    • 2
    Email author
  • Julie A. Petro
    • 1
  • Matthew B. Novitch
    • 3
  • Adeel A. Faruki
    • 1
  • Jeffrey B. Bice
    • 4
  • Omar Viswanath
    • 5
    • 6
    • 7
  • Paragi H. Rana
    • 1
  • Alan D. Kaye
    • 8
  1. 1.Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain MedicineHarvard Medical SchoolBostonUSA
  2. 2.Beth Israel Deaconess Medical Center, Department of AnesthesiologyHarvard Medical SchoolBostonUSA
  3. 3.Medical College of WisconsinWausauUSA
  4. 4.Department of AnesthesiologyVirginia Mason Medical CenterSeattleUSA
  5. 5.Valley Anesthesiology and Pain ConsultantsPhoenixUSA
  6. 6.University of Arizona College of Medicine-PhoenixPhoenixUSA
  7. 7.Creighton University School of MedicineOmahaUSA
  8. 8.Department of AnesthesiologyLouisiana State University Health Science CenterNew OrleansUSA

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