A cost analysis of orthopedic foot surgery: can outpatient continuous regional analgesia provide the same standard of care for postoperative pain control at home without shifting costs?

2015 ◽  
Vol 17 (8) ◽  
pp. 951-961 ◽  
Author(s):  
Andrea Saporito ◽  
Stefano Calciolari ◽  
Laura Gonzalez Ortiz ◽  
Luciano Anselmi ◽  
Alain Borgeat ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Cost Analysis ◽  
Pain Control ◽  
Standard Of Care ◽  
Foot Surgery ◽  
Postoperative Pain Control ◽  
Regional Analgesia ◽  
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scholarly journals What Can Breast and Plastic Surgeons Do to Help Fight the Opioid Crisis: The Interpectoral Block for Pain Control Following Aesthetic and Reconstructive Breast Surgery

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Michael Scheflan ◽  
Tanir M Allweis
Keyword(s):  
Postoperative Pain ◽  
Pain Control ◽  
Ultrasound Guidance ◽  
Breast Surgery ◽  
Standard Of Care ◽  
Postoperative Pain Management ◽  
Effective Technique ◽  
Regional Analgesia ◽  
Pain Medications ◽  
Opioid Administration

Abstract With the heightened awareness of the dangers of opioid administration, the importance of providing effective non-opioid postoperative pain management is evident. Regional analgesia for breast surgery has been described, but it is unclear how widely it is utilized. The authors describe a simple block performed during ablative, aesthetic, and reconstructive breast surgery to improve postoperative pain control and significantly decrease the need for postoperative pain medications. The interpectoral (PECS I) block covers the lateral and medial pectoral nerves and can be administered by the anesthesiologist under ultrasound guidance after induction of general anesthesia, or by the surgeon under direct vision, using a blunt cannula, at the time of surgery. The authors have been practicing this technique in every patient undergoing aesthetic, ablative, and reconstructive breast surgery in the last 4 years. In approximately 350 patients, none received opioids after discharge, which was either same day or the following day. The authors provide a brief review of the literature and a detailed description of the technique along with a video demonstrating the procedures. Intraoperative pectoral block is a simple and effective technique for decreasing postoperative pain and analgesic requirements and could be widely adopted as a standard of care in breast surgery.

Continuous popliteal sciatic nerve block for postoperative pain control at home

2005 ◽  
Vol 22 (Supplement 34) ◽  
pp. 12
Author(s):  
E. Galvin ◽  
J. Blazquez ◽  
H. Medina ◽  
M. Meijer ◽  
S. Verbrugge ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Sciatic Nerve ◽  
Nerve Block ◽  
Pain Control ◽  
Sciatic Nerve Block ◽  
Postoperative Pain Control ◽  
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