Continuous peripheral nerve blocks for burn management: a retrospective study of outcomes and complications in 281 burn patients
Authors' conclusion
In our practice, continuous perineural catheters in the setting of acute burns are associated with an infection rate comparable to other surgical populations.
Study context
- Population
- Patients admitted to an American Burn Association-verified regional burn center, January 2018 to July 2023, with a continuous peripheral nerve block for acute burn injury484 perineural catheters
- Participants
- 281 patients
- Outcome
- Catheter-associated infection (clinical diagnosis requiring antibiotics or surgical debridement)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Catheter-associated infection
Infection per catheter: 6 catheters
1.2%
95% CI 0% to 2.2%
Infection per patient: 6 patients
2.1%
95% CI 0% to 3.8%
Observational data: associations, not effects.
Further findings
Duration of catheter use
- Median duration of catheter use, days (IQR 4-8)
- 6
Bedside debridement without OR debridement
- Patients not requiring OR debridement (block sufficient for bedside debridement)
- 33%
Catheter sites
- Infraclavicular
- 49%
- Popliteal sciatic
- 29%
- Femoral
- 19%
- Adductor canal
- 17%
Safety
Nerve injury or toxicity, vascular injury, LAST
- No documented cases
Original publication
Continuous peripheral nerve blocks for burn management: a retrospective study of outcomes and complications in 281 burn patients. Reg Anesth Pain Med. Published 31 October 2024. doi:10.
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