Navigation Links
Anesthesia Pouch Allows Children to Go Home Sooner After Surgery
Date:11/2/2007

PHILADELPHIA, Nov. 2 /PRNewswire-USNewswire/ -- Children recovering from orthopaedic surgery feel less pain and leave the hospital sooner when they go home with a small pouch that delivers local anesthetic agents and blocks pain transmission from surgical sites. Already used in adults, doctors at The Children's Hospital of Philadelphia adapted the technique for children.

Their findings are published in the November 2007 issue of the journal Anesthesia & Analgesia. Children's Hospital physicians studied outcomes for 217 children who received the procedure -- called continuous peripheral nerve blockade (CPNB) -- for pain management after orthopaedic surgery between 2003 and 2006.

"The main advantage is that the patients can leave the hospital sooner," said Arjunan Ganesh, M.D., a pediatric anesthesiologist at The Children's Hospital and the lead author of the study. "And, you are able to ensure better pain control and to decrease use of opioids and their side effects, such as itching and nausea."

In addition to an earlier hospital discharge and better pain management, the catheter system offers continuous relief for as many as 100 hours and may be cheaper than alternative treatments and long hospital stays.

Adults have benefited from CPNB for more than seven years, but little research has been done until now into the feasibility, safety and effectiveness in children after surgery. This study looked at some of the main concerns, namely how patients fare with placement of catheters under general anesthesia, and how well patient families follow at-home directions. The Children's Hospital doctors have now used CPNB for pain management on almost 500 patients since January 2003.

Once the patient leaves the hospital with a small anesthesia pouch attached to a belt worn over the shoulder or around the waist that delivers local anesthetic (numbing medication) around nerves, they receive daily visits from a home nurse until the catheter is removed. Parents can take out the catheter themselves at home, avoiding another office visit. Physicians or nurse practitioners call patient families once or twice a day until resolution of the numbness or any side effects following removal of the catheter.

"CPNB has never been done routinely in pediatrics," adds Dr. Ganesh. "I don't know of any other institution that regularly sends children home with catheters. They may be starting to do it now, after we have shown in studies that it works. One of the main reasons for the successful launch of this program was the acceptance and interest generated by our orthopaedic surgeons and pain nurse practitioners who helped train the post anesthesia care unit and educate parents, without whom this program would not have taken off."

The authors caution that a hospital must provide appropriate patient and family education concerning in-home use as well as frequent follow-up, to prevent and correct complications from the procedure. The complications may include infections, difficulty in removing the catheter, inadequate analgesia, leakage from the insertion and injury resulting from a fall or trauma to the extremity. The overall failure rate was 15 percent.

Also, because of the limited number of patients examined in this study, the incidence of rare serious adverse events could have been underestimated. Therefore, additional studies are needed, the authors concluded.

Dr. Ganesh's co-authors from The Children's Hospital are John B. Rose, M.D.; Lawrence Wells, M.D.; Theodore Ganley, M.D.; Harshad Gurnaney, M.D.; Lynne G. Maxwell, M.D .; Theresa DiMaggio, M.S.N.; Karen Milovcich, M.S.N.; Maureen Scollon, M.S.N.; Jeffrey M. Feldman, M.D.; and Giovanni Cucchiaro, M.D.

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 430-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.

Media Contacts:

Juliann Walsh

Phone: (267) 426-6054

Walshj1@email.chop.edu

This news release was issued on behalf of Newswise(TM). For more information, visit http://www.newswise.com.


'/>"/>
SOURCE The Children's Hospital of Philadelphia
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Bypass Heart Surgery Performed Without General Anesthesia
2. General Anesthesia Safe For Children On Ketogenic Diet Suffering From Epilepsy
3. General Anesthesia For Heroin Detoxification Is No Good
4. Anesthesia Drug To Bring Solace To The Depressed
5. Choice of Anesthesia in C-section
6. Dental Researchers Test No-Needle Anesthesia, No-Drilling Cavity Care
7. Targeted Anesthesia Can Minimize Pain During Prostate Biopsy
8. Obstetrical Anesthesia Equally Safe When Provided by CRNAs or Anesthesiologists
9. Two New Anesthesia Positions Promise to Ease Surgery Queue
10. FDA allows barley producers to make healthy heart claims
11. Woman swallows mobile phone - assault by boyfriend?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... IL (PRWEB) , ... October 13, 2017 , ... ... which established the certification process to promote standards of excellence for the field ... Symposium, scheduled for March 22 – 25, 2018 in Orlando, Florida at the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Lori R. Somekh, founder of the ... national organization of elder law and special needs planning attorneys. “Membership in ElderCounsel helps ... provides a forum to network with elder law attorneys nationwide,” said Somekh. , ...
(Date:10/13/2017)... ... , ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to ... unique items from across the nation, this holiday-themed event will raise funds and awareness ... VNA. The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... “The Journey: ... faced every danger possible to save lost souls in the Philippines. “The Journey: From ... Carole is a dedicated teacher of the Bible. She has taught all ages and ...
Breaking Medicine News(10 mins):
(Date:10/7/2017)... , Oct. 6, 2017   Provista, a ... than $100 billion in purchasing power, today announced a ... information. The Newsroom is the online home ... trends, infographics, expert bios, news releases, slideshows and events. ... to a wealth of resources at their fingertips, viewers ...
(Date:10/4/2017)... LAWRENCE, Mass. , Oct. 4, 2017 /PRNewswire/ ... developer of single-use, self-contained, illuminating medical devices, today ... National Health Surveillance Agency (or Agência Nacional ... ®. The first single-use, cordless surgical retractor with ... ONETRAC provides optimal access, illumination and exposure of ...
(Date:10/2/2017)... Halo Labs announces the European launch of their new low volume, ... 2017 in Cambridge, U.K on October 4th. ... samples with unprecedented speed and sensitivity while using far less sample ... ... system ...
Breaking Medicine Technology: