Single Shot vs Continuous Catheter

Kristen Gadbois, MD, FRCPC

The Ottawa Hospital, Department of Anesthesiology and Pain Medicine

Clinical Lecturer, The University of Ottawa

Disclosures

PAIN

CPNB Benefits

• Prolonged titrateable analgesia

• supplemental analgesics (opioids!)

• Earlier participation in rehab

• time to discharge readiness

Ilfeld et al - Anesthesiology 2002; 96: 1297-1304

Ilfeld et al – Anesthesiology 2002; 97:959-65

Mariano et al – Anesth Analg 2009

CPNB Risks

• Infection, nerve injury

• s/e of prolonged local anesthetic infusion

• Inadequate analgesia

• Equipment malfunction

Mariano et al.: US vs NS for Infraclavicular and Popliteal Sciatic blocks

• Successful blocks in 94-100% with US, 70-80% with NS

• Time 9 vs 15min for Infraclavicular, 5 vs 10min for popliteal sciatic

References

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