Papers

Peer-reviewed International journal
2017

Risk factors for rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block: a retrospective study of 930 cases.

JA clinical reports
  • Tatsunori Watanabe
  • ,
  • Koji Moriya
  • ,
  • Takuya Yoda
  • ,
  • Naoto Tsubokawa
  • ,
  • Andrey B Petrenko
  • ,
  • Hiroshi Baba

Volume
3
Number
1
First page
39
Last page
39
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1186/s40981-017-0110-9

Background: Postoperative pain management after upper limb surgery is important for preventing adverse events that can prolong hospital stay and cause readmission. This study aimed to identify the risk factors associated with rescue analgesic use on the first postoperative day after upper limb surgery performed under single-injection brachial plexus block (BPB). Findings: We retrospectively analyzed records from 930 patients who underwent upper limb surgery under a single-injection BPB. Postoperatively, patients were administered oral loxoprofen regularly and rescue analgesics when analgesia was insufficient. We assessed the association between patient, surgical information, and rescue analgesic use on the first day after surgery (from 7:00 PM on the day of surgery to 7:00 AM on the first postoperative day), using a logistic regression model. Multivariate analysis revealed a significant association between rescue analgesic use and bone surgery, in particular, osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit, and surgical duration. Conclusion: Bone surgery (osteotomy, ligament repair and reconstruction, osteosynthesis, treatment for an amputated digit) and a longer operative time were risk factors for rescue analgesic use for treating postoperative pain after upper limb surgery performed under single-injection BPB.

Link information
DOI
https://doi.org/10.1186/s40981-017-0110-9
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29457083
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804622
ID information
  • DOI : 10.1186/s40981-017-0110-9
  • Pubmed ID : 29457083
  • Pubmed Central ID : PMC5804622

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