Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 casesReportar como inadecuado




Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

JA Clinical Reports

, 3:39

First Online: 27 July 2017Received: 25 April 2017Accepted: 17 July 2017

Abstract

BackgroundPostoperative pain management after upper limb surgery is important for preventing adverse events that can prolong hospital stay and cause readmission. This study aimed to identify the risk factors associated with rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block BPB.

FindingsWe retrospectively analyzed records from 930 patients who underwent upper limb surgery under a single-injection BPB. Postoperatively, patients were administered oral loxoprofen regularly and rescue analgesics when analgesia was insufficient. We assessed the association between patient, surgical information, and rescue analgesic use on the first day after surgery from 7:00 PM on the day of surgery to 7:00 AM on the first postoperative day, using a logistic regression model. Multivariate analysis revealed a significant association between rescue analgesic use and bone surgery, in particular, osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit, and surgical duration.

ConclusionBone surgery osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit and a longer operative time were risk factors for rescue analgesic use for treating postoperative pain after upper limb surgery performed under single-injection BPB.

KeywordsUpper limb surgery Brachial plexus block Rescue analgesia Risk factors Logistic regression model AbbreviationsBPBBrachial plexus block

CI95% confidence intervals

NSAIDsNonsteroidal anti-inflammatory drugs

OROdds ratios

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Autor: Tatsunori Watanabe - Koji Moriya - Takuya Yoda - Naoto Tsubokawa - Andrey B. Petrenko - Hiroshi Baba

Fuente: https://link.springer.com/



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