Continuous Lateral Sciatic Blocks for Acute Postoperative Pain Management after Major Ankle and Foot Surgery

2002 ◽  
Vol 23 (8) ◽  
pp. 749-752 ◽  
Author(s):  
Jacques E. Chelly ◽  
Jennifer Greger ◽  
Andrea Casati ◽  
Tameem Al-Samsam ◽  
William McGarvey ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Sciatic Nerve ◽  
Vastus Lateralis ◽  
Biceps Femoris ◽  
Postoperative Pain Management ◽  
Foot Surgery ◽  
Postoperative Pain Control ◽  
Acute Postoperative Pain ◽  
Infusion Technique ◽  
Ankle And Foot

We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. Methods: A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve. Results: Continuous lateral sciatic infusion of 0.2% ropivacaine was associated with a significant reduction of morphine consumption by 29% and 62% during postoperative days one and two, respectively, in patients who underwent open reduction and internal fixation of the ankle. Conclusion: Continuous lateral sciatic infusion of 0.2% ropivacaine represents an alternative for acute postoperative pain control after major ankle and foot surgery.

scholarly journals Are NSAIDs Safe? Assessing the Risk-Benefit Profile of Nonsteroidal Anti-inflammatory Drug Use in Postoperative Pain Management

2020 ◽  
pp. 000313482095283
Author(s):  
Ray W. Chang ◽  
Danielle M. Tompkins ◽  
Stephen M. Cohn
Keyword(s):  
Postoperative Pain ◽  
Cardiac Dysfunction ◽  
Postoperative Pain Management ◽  
Review Of The Literature ◽  
Postoperative Pain Control ◽  
Acute Postoperative Pain ◽  
Short Term ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Short Courses

In this article, we review controversies in assessing the risk of serious adverse effects caused by administration of nonsteroidal anti-inflammatory drugs (NSAIDs). Our focus is upon NSAIDs used in short courses for the management of acute postoperative pain. In our review of the literature, we found that the risks of short-term NSAID use may be overemphasized. Specifically, that the likelihood of renal dysfunction, bleeding, nonunion of bone, gastric complications, and finally, cardiac dysfunction do not appear to be significantly increased when NSAIDs are used appropriately after surgery. The importance of this finding is that in light of the opioid epidemic, it is crucial to be aware of alternative analgesic options that are safe for postoperative pain control.

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