PURPOSE OF REVIEW: To review the recently published peer-reviewed literature involving regional anesthesia and analgesia in patients at home. RECENT FINDINGS: The potential benefits and risks of regional anesthesia and analgesia at home are pertinent queries, and increased data regarding these topics are rapidly becoming available. Of particular interest is the use of continuous peripheral nerve blocks at home and their potential effect upon hospitalization duration and recovery profile. SUMMARY: Advantages of regional techniques include site-specific anesthesia and decreased postoperative opioid use. For shoulder surgeries, the interscalene block provides effective analgesia with minimal complications, whereas the impact and risks of intraarticular injections remain unclear. Perineural catheters are an analgesic option that offer improved pain relief among other benefits. They are now being used at home in both adult and pediatric populations.
PURPOSE OF REVIEW: To review the recently published peer-reviewed literature involving regional anesthesia and analgesia in patients at home. RECENT FINDINGS: The potential benefits and risks of regional anesthesia and analgesia at home are pertinent queries, and increased data regarding these topics are rapidly becoming available. Of particular interest is the use of continuous peripheral nerve blocks at home and their potential effect upon hospitalization duration and recovery profile. SUMMARY: Advantages of regional techniques include site-specific anesthesia and decreased postoperative opioid use. For shoulder surgeries, the interscalene block provides effective analgesia with minimal complications, whereas the impact and risks of intraarticular injections remain unclear. Perineural catheters are an analgesic option that offer improved pain relief among other benefits. They are now being used at home in both adult and pediatric populations.
Authors: Brian A Williams; Michael L Kentor; Molly T Vogt; James J Irrgang; Matthew T Bottegal; Robin V West; Christopher D Harner; Freddie H Fu; John P Williams Journal: Anesthesiology Date: 2006-02 Impact factor: 7.892
Authors: Brian M Ilfeld; Peter F Gearen; F Kayser Enneking; Linda F Berry; Eugene H Spadoni; Steven Z George; Krista Vandenborne Journal: Anesth Analg Date: 2006-01 Impact factor: 5.108
Authors: Brian M Ilfeld; Thomas W Wright; F Kayser Enneking; Jennie A Mace; Jonathan J Shuster; Eugene H Spadoni; Terese L Chmielewski; Krista Vandenborne Journal: Anesth Analg Date: 2005-11 Impact factor: 5.108
Authors: Brian M Ilfeld; Peter F Gearen; F Kayser Enneking; Linda F Berry; Eugene H Spadoni; Steven Z George; Krista Vandenborne Journal: Reg Anesth Pain Med Date: 2006 Mar-Apr Impact factor: 6.288