PURPOSE: The On-Q(®) pain pump provides a continuous infusion of local anesthesia for management of postoperative pain. The objective of this study was to assess the efficacy and outcomes of the On-Q(®) pump compared to continuous epidural in children postoperatively. METHODS: We performed a retrospective review of patients in our hospital who received a postoperative epidural or On-Q(®) pump from 2005 to 2008. Patients were sub-categorized by incision type. RESULTS: Seventy patients received epidural and 66 On-Q(®). On-Q(®) therapy was longer by 1 day (p < 0.0001), but did not affect postoperative length of stay. Patients with On-Q(®) pumps had a decreased rate of Foley catheter placement (p = 0.002) and shorter duration of catheter use by more than a day (p < 0.001). Moderate to severe pain was similar in the two groups on postoperative days 0-5. Supplemental narcotic use was higher in the On-Q(®) group only on postoperative day 1 (p = 0.005) and in patients with midline and transverse abdominal incisions. No differences were seen in time to ambulation or recovery of postoperative ileus. CONCLUSION: The On-Q(®) pain pump is an effective method for postoperative pain control, without the inherent risks of epidural catheters.
PURPOSE: The On-Q(®) pain pump provides a continuous infusion of local anesthesia for management of postoperative pain. The objective of this study was to assess the efficacy and outcomes of the On-Q(®) pump compared to continuous epidural in children postoperatively. METHODS: We performed a retrospective review of patients in our hospital who received a postoperative epidural or On-Q(®) pump from 2005 to 2008. Patients were sub-categorized by incision type. RESULTS: Seventy patients received epidural and 66 On-Q(®). On-Q(®) therapy was longer by 1 day (p < 0.0001), but did not affect postoperative length of stay. Patients with On-Q(®) pumps had a decreased rate of Foley catheter placement (p = 0.002) and shorter duration of catheter use by more than a day (p < 0.001). Moderate to severe pain was similar in the two groups on postoperative days 0-5. Supplemental narcotic use was higher in the On-Q(®) group only on postoperative day 1 (p = 0.005) and in patients with midline and transverse abdominal incisions. No differences were seen in time to ambulation or recovery of postoperative ileus. CONCLUSION: The On-Q(®) pain pump is an effective method for postoperative pain control, without the inherent risks of epidural catheters.
Authors: Grayson H Wheatley; David H Rosenbaum; Michelle C Paul; Alan P Dine; Michael A Wait; Dan M Meyer; Michael E Jessen; W Steves Ring; J Michael DiMaio Journal: J Thorac Cardiovasc Surg Date: 2005-08 Impact factor: 5.209
Authors: Christopher F Tirotta; Hamish M Munro; Jane Salvaggio; Danielle Madril; Donald E Felix; Lynda Rusinowski; Cristi Tyler; William Decampli; Robert L Hannan; Redmond P Burke Journal: Paediatr Anaesth Date: 2009-06 Impact factor: 2.556
Authors: K B Hindsholm; C Bredahl; M K Jensen; L Kidmose; P Herlevsen; F B Nielsen; A S Olesen Journal: Br J Anaesth Date: 1993-10 Impact factor: 9.166