Why the study?
Does ultrasound-guided rectus sheath catheter placement improve post-operative pain management in patients undergoing laparotomies?
Case Report (n=3)
No
Does ultrasound-guided rectus sheath catheter placement improve post-operative pain management in patients undergoing laparotomies?
Ultrasound-guided rectus sheath catheters may serve as a feasible and effective opioid-sparing alternative for post-operative pain management when epidural analgesia is contraindicated or fails.
Answers are grounded in this paper and cite their sources.
May offer opioid-sparing option when epidural contraindicated; hypothesis-generating and requires randomized trials before practice change.
Epidural analgesia, though the gold standard of post-operative pain management for laparotomies, is associated with limitations and is contraindicated in many patients. Opioid-based pain management, which is an alternative to epidural, has been implicated in post-operative nausea, vomiting, and ileus. We report successful management of post operative pain with ultrasound guided rectus sheath (RS) catheters. RS block is a promising alternative in scenarios were epidural is contraindicated, has failed or in case of unexpected change in the surgical plan.
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Bakshi et al. (2015) conducted a case report in Post-operative pain (n=3). Ultrasound-guided rectus sheath catheters was evaluated on Post-operative pain scores.
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