Femoral-sciatic nerve blocks for complex Outpatient knee surgery are associated with less postoperative pain before same-day discharge: A review of 1,200 consecutive cases from the period 1996-1999

Outpatient knee surgery has come to involve increasingly complex procedures. The authors present observational data from a nerve block algorithm designed for the care of outpatients undergoing knee surgery. The aim of this report is to demonstrate differences in pain and unplanned hospital admission...

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Bibliographic Details
Published in:Anesthesiology (Philadelphia) 2003-05, Vol.98 (5), p.1206-1213
Main Authors: WILLIAMS, Brian A, KENTOR, Michael L, VOGT, Molly T, WILLIAMS, John P, CHELLY, Jacques E, VALALIK, Stacey, HARNER, Christopher D, FU, Freddie H
Format: Article
Language:English
Subjects:
Adult
Ambulatory Surgical Procedures
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Female
Femoral Nerve
Humans
Knee Joint - surgery
Male
Medical sciences
Minimally Invasive Surgical Procedures
Nerve Block - methods
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
Pain, Postoperative - nursing
Pain, Postoperative - prevention & control
Retrospective Studies
Sciatic Nerve
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Summary:Outpatient knee surgery has come to involve increasingly complex procedures. The authors present observational data from a nerve block algorithm designed for the care of outpatients undergoing knee surgery. The aim of this report is to demonstrate differences in pain and unplanned hospital admission associated with surgical complexity and nerve blocks used. Day-of-surgery outcomes were studied for 1,200 consecutive outpatients undergoing routine arthroscopy or one of six complex outpatient knee procedures. Nerve blocks were administered on the basis of anticipated pain from open incisions in the femoral and sciatic nerve distributions. Regression analysis was used to determine factors associated with postoperative pain and unplanned hospital admissions, and patients were categorized as having received femoral and sciatic nerve blocks (FSB), femoral nerve block only (FNB), or no nerve blocks. Patients undergoing more complex (vs. less invasive) knee surgery were at greater risk for pain (P
ISSN:0003-3022
1528-1175
DOI:10.1097/00000542-200305000-00024