TY - CHAP M1 - Book, Section TI - Chapter 64. Continuous Peripheral Nerve Blocks in Outpatients A1 - Ilfeld, Brian M. A1 - Renehan, Elizabeth M. A1 - Enneking, F. Kayser A2 - Hadzic, Admir Y1 - 2007 N1 - T2 - NYSORA Textbook of Regional Anesthesia and Acute Pain Management AB - Over 40% of ambulatory patients experience moderate-to-severe postoperative pain at home following orthopedic procedures.1 Single-injection peripheral nerve blocks with long-acting local anesthetics can provide excellent postoperative analgesia. However, the analgesic benefit of single-injection blocks is typically limited to the duration of the blockade and, subsequently, patients must usually rely on oral opioids to control pain. Unfortunately, opioids are associated with undesirable side effects, such as pruritus, nausea and vomiting, sedation, and constipation. To improve postoperative analgesia following ambulatory surgery, increasing interest has focused on providing perineural local anesthetic infusions, also called, continuous peripheral nerve blocks, to outpatients. This technique involves a percutaneous insertion of a catheter directly adjacent to the peripheral nerve(s) supplying the surgical site. Local anesthetic is then infused via the catheter, providing prolonged, site-specific analgesia. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=3507797 ER -