Continuous peripheral nerve blocks for pain control after orthopaedic surgery: A prospective study during in-hospital and ambulatory care
Authors' conclusion
In-hospital and at-home use of CPNB supervised by a pain service team provides a feasible and safe alternative after orthopaedic surgery, pain control with a low requirement of opioids.
Study context
- Population
- Adults (≥18 y) undergoing orthopaedic surgery with continuous peripheral nerve blocks (CPNB) for postoperative pain, teaching private hospital, Santiago, Chile, July 2016–March 2020387 (77.87%) discharged home
- Participants
- 497 adults
- Outcome
- Pain scores, opioid use and complication rates in hospital and at home
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
No-worse-than-mild pain at 48 h
70%
Episode of severe pain
Less than 3.1%
Opioid rescue medication required
less than 13%
Observational data: associations, not effects.
Further findings
Patient satisfaction
- High rates of satisfaction
Safety
Transient neurological symptoms
- Transient neurological symptoms
- 13% (95% CI 10.4 to 16.1)
Long-term or severe complications
- None observed
- 0
Original publication
Continuous peripheral nerve blocks for pain control after orthopaedic surgery: A prospective study during in-hospital and ambulatory care. Eur J Anaesthesiol Intensive Care. Published 23 January 2025. doi:10.
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