Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10474
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dc.contributor.authorTan, Kian Jinen
dc.contributor.authorFarrow, Hamishen
dc.date.accessioned2015-05-15T23:55:56Z
dc.date.available2015-05-15T23:55:56Z
dc.date.issued2007-11-28en
dc.identifier.citationJournal of Plastic, Reconstructive & Aesthetic Surgery : Jpras 2007; 62(2): 206-10en
dc.identifier.govdoc18054302en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10474en
dc.description.abstractPostoperative pain relief can be delivered either directly to the operative site, or systemically. When effective analgesia can be provided locally, the side effects of systemic analgesia can be avoided, reducing the morbidity of the procedure. We examined the effects of delivering local anaesthetic to the rectus sheath via a multilumen infusion catheter following transverse rectus abdominis myocutaneous (TRAM) flap surgery, and compared the outcomes with patients managed using patient-controlled analgesia (PCA). Forty-six TRAM flap patients received either PCA, local anaesthetic infusion and PCA, or local anaesthetic infusion and supplemental opioid as needed, and the analgesic requirements and morbidity associated with the use of these analgesic medications were recorded. The use of local anaesthetic infusion significantly reduced both total opioid use (71.7% reduction) and nausea, as reflected in the reduction of antiemetic required (51.5% reduction). Fourteen patients were also successful managed with just the infusion catheter and supplementary analgesia, avoiding completely the use of PCA. A 1.5-day reduction in length of hospitalisation was also found. Local anaesthetic infusion delivery to the rectus sheath significantly reduces narcotic requirements, may eliminate the need for PCA, and has an associated significant decrease in the postoperative nausea and vomiting commonly seen in TRAM breast reconstructions.en
dc.language.isoenen
dc.subject.otherAmides.administration & dosageen
dc.subject.otherAnalgesia, Patient-Controlleden
dc.subject.otherAnalgesics, Opioid.administration & dosageen
dc.subject.otherAnesthesia, Local.methodsen
dc.subject.otherAnesthetics, Local.administration & dosageen
dc.subject.otherAntiemetics.administration & dosageen
dc.subject.otherDrug Administration Scheduleen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherInfusion Pumpsen
dc.subject.otherInfusions, Intralesionalen
dc.subject.otherMammaplasty.methodsen
dc.subject.otherMiddle Ageden
dc.subject.otherMorphine.administration & dosageen
dc.subject.otherPain, Postoperative.prevention & controlen
dc.subject.otherPostoperative Nausea and Vomiting.prevention & controlen
dc.subject.otherRetrospective Studiesen
dc.subject.otherSurgical Flapsen
dc.titleImproving postoperative analgesia for transverse rectus abdominis myocutaneous flap breast reconstruction; the use of a local anaesthetic infusion catheter.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of plastic, reconstructive & aesthetic surgery : JPRASen
dc.identifier.affiliationPlastic and Reconstructive Surgery Unit, Austin Hospital, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1016/j.bjps.2007.10.034en
dc.description.pages206-10en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/18054302en
dc.type.austinJournal Articleen
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
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