Use of rectus sheath catheters for pain relief in patients undergoing major pelvic urological surgery

2.50
Hdl Handle:
http://hdl.handle.net/11287/593788
Title:
Use of rectus sheath catheters for pain relief in patients undergoing major pelvic urological surgery
Authors:
Dutton, Thomas J.; McGrath, John S; Daugherty, Mark O.
Abstract:
OBJECTIVE: To report on the safety and efficacy of rectus sheath blocks, 'topped-up' using bilateral rectus sheath catheters (RSCs), in patients undergoing major open urological surgery. METHODS: The RSCs were inserted under ultrasound guidance into 200 patients between April 2008 and August 2011, of whom 106 patients underwent radical retropubic prostatectomy (RRP) and 94 underwent open radical cystectomy (ORC). A retrospective case-note review was undertaken. Outcomes included technical success and complication rates of the insertion and use of RSC, visual analogue pain scores, additional analgesia requirements and length of hospital stay (LOS). RESULTS: All RSCs were successfully placed without complication and used for a mean of 3.6 days for ORC and 2.1 days for RRP. Early removal occurred in 6.49% of patients. Low overall pain scores were reported in both groups. Patients were more likely to require a patient-controlled analgesia system in the ORC group but the overall need for additional analgesia was low in both groups, reducing significantly after the initial 24 h. In combination with an enhanced recovery programme, LOS reduced from 17.0 to 10.8 days in the ORC group and from 6.2 to 2.8 days in the RRP group. CONCLUSION: The use of RSCs appears to offer an effective and safe method of peri-operative analgesia in patients undergoing major open urological pelvic surgery.
Citation:
BJU Int. 2014 Feb;113(2):246-53.
Publisher:
Wiley
Journal:
BJU international
Issue Date:
1-Feb-2014
URI:
http://hdl.handle.net/11287/593788
DOI:
10.1111/bju.12316
PubMed ID:
23937574
Additional Links:
http://dx.doi.org/10.1111/bju.12316
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Journal Article; Evaluation Studies
Language:
eng
ISSN:
1464-410X
Appears in Collections:
Urology; 2014 RD&E publications; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorDutton, Thomas J.en
dc.contributor.authorMcGrath, John Sen
dc.contributor.authorDaugherty, Mark O.en
dc.date.accessioned2016-01-19T12:34:56Zen
dc.date.available2016-01-19T12:34:56Zen
dc.date.issued2014-02-01en
dc.identifier.citationBJU Int. 2014 Feb;113(2):246-53.en
dc.identifier.issn1464-410Xen
dc.identifier.pmid23937574en
dc.identifier.doi10.1111/bju.12316en
dc.identifier.urihttp://hdl.handle.net/11287/593788en
dc.description.abstractOBJECTIVE: To report on the safety and efficacy of rectus sheath blocks, 'topped-up' using bilateral rectus sheath catheters (RSCs), in patients undergoing major open urological surgery. METHODS: The RSCs were inserted under ultrasound guidance into 200 patients between April 2008 and August 2011, of whom 106 patients underwent radical retropubic prostatectomy (RRP) and 94 underwent open radical cystectomy (ORC). A retrospective case-note review was undertaken. Outcomes included technical success and complication rates of the insertion and use of RSC, visual analogue pain scores, additional analgesia requirements and length of hospital stay (LOS). RESULTS: All RSCs were successfully placed without complication and used for a mean of 3.6 days for ORC and 2.1 days for RRP. Early removal occurred in 6.49% of patients. Low overall pain scores were reported in both groups. Patients were more likely to require a patient-controlled analgesia system in the ORC group but the overall need for additional analgesia was low in both groups, reducing significantly after the initial 24 h. In combination with an enhanced recovery programme, LOS reduced from 17.0 to 10.8 days in the ORC group and from 6.2 to 2.8 days in the RRP group. CONCLUSION: The use of RSCs appears to offer an effective and safe method of peri-operative analgesia in patients undergoing major open urological pelvic surgery.en
dc.language.isoengen
dc.publisherWileyen
dc.relation.urlhttp://dx.doi.org/10.1111/bju.12316en
dc.titleUse of rectus sheath catheters for pain relief in patients undergoing major pelvic urological surgeryen
dc.typeJournal Articleen
dc.typeEvaluation Studiesen
dc.identifier.journalBJU internationalen
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en

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