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Multi‐site nerve block catheters for postoperative analgesia in extended scapulectomy and free‐flap reconstruction

Multi‐site nerve block catheters for postoperative analgesia in extended scapulectomy and... Scapulectomy is performed as a limb‐sparing procedure in the management of tumours of the proximal humerus and shoulder girdle. Analgesic outcomes following this procedure are poorly documented in the literature. In our case, satisfactory analgesia following extended scapulectomy and free‐flap reconstruction was achieved with a combination of multi‐site continuous nerve block catheters and patient‐controlled analgesia, for a patient with chronic pain who had a high pre‐operative opioid requirement. Multiple continuous nerve block catheters were used, including interscalene and paravertebral catheters to provide analgesia for the shoulder resection, with a fascia iliaca compartment catheter providing analgesia to free‐flap donor site on the the anterolateral thigh. These continuous nerve block catheters contributed to effective postoperative analgesia and low postoperative intravenous opioid requirements in this case. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Reports Wiley

Multi‐site nerve block catheters for postoperative analgesia in extended scapulectomy and free‐flap reconstruction

Cowgill, A. E.; Womack, J.; Powell, L.
Anaesthesia Reports , Volume 10 (2) – Jul 1, 2022
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Publisher
Wiley
Copyright
2022 © Association of Anaesthetists
eISSN
2637-3726
DOI
10.1002/anr3.12188
Publisher site
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Abstract

Scapulectomy is performed as a limb‐sparing procedure in the management of tumours of the proximal humerus and shoulder girdle. Analgesic outcomes following this procedure are poorly documented in the literature. In our case, satisfactory analgesia following extended scapulectomy and free‐flap reconstruction was achieved with a combination of multi‐site continuous nerve block catheters and patient‐controlled analgesia, for a patient with chronic pain who had a high pre‐operative opioid requirement. Multiple continuous nerve block catheters were used, including interscalene and paravertebral catheters to provide analgesia for the shoulder resection, with a fascia iliaca compartment catheter providing analgesia to free‐flap donor site on the the anterolateral thigh. These continuous nerve block catheters contributed to effective postoperative analgesia and low postoperative intravenous opioid requirements in this case.

Journal

Anaesthesia Reports – Wiley

Published: Jul 1, 2022

Keywords: amputation, scapula; analgesia, regional; nerve blocks; peri‐operative period

References

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    Mayil Vahanan, N; Mohanlal, P; Bose, JC; Gangadharan, R; Karthisundar, V
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    Hasan, SS; Rolf, RH; Sympson, AN; Eten, K; Elsass, TR
  • Safety profile and outcome after ultrasound‐guided suprainguinal fascia iliaca catheters for hip fracture: a single‐centre propensity‐matched historical cohort study
    James, M; Bentley, RA; Womack, J; Goodman, B
  • Safety, complications and clinical outcome after ultrasound‐guided paravertebral catheter insertion for rib fracture analgesia: a single‐centre retrospective observational study
    Womack, J; Pearson, JD; Walker, IA; Stephens, NM; Goodman, BA
  • Reconstruction techniques after proximal humerus tumour resection
    Sirveaux, F
  • Continuous regional anaesthesia provides effective pain management and reduces opioid requirement following major lower limb amputation
    Ayling, OGS; Montbriand, J; Jiang, J