Analgesic Efficacy of Multiple Single-Shot Peripheral Nerve Blocks on Postoperative Short-Term Opioid Usage and Clinical Outcomes in a Suburban Hospital Setting

James Soler, Ned Sciortino, Sara Badaglialacqua, Craig Ryan, Greg Marchand

Abstract


Background: Preoperative single-shot peripheral nerve blocks (sPNBs) represent promising candidates for controlling postoperative pain, reducing dependence on opioid medications, and reducing postoperative constipation and ileus. However, there is not yet complete consensus regarding their efficacy. The primary aim of this study was to assess the impact of various sPNBs on patient short-term opioid demands and pain management parameters.

Methods: This single-center study retrospectively reviewed a cohort of 94 adult, elective surgery inpatients (ASA physical status I-III) scheduled for different operations. Sixty-four (68.1%) were selected for sPNB administration (group 1) and compared to the untreated group (group 0) for different clinical parameters.

Results: Contrary to the starting hypothesis, a higher proportion of group 1 patients experienced increasing pain intensities during the immediate postoperative period (P < 0.05, Fishers exact test), while requiring more bowel care medications (P < 0.05, ?2 test). Multiple linear regression modeling, however, showed that recovery time positively correlated with the opioid amount consumed (P < 0.01). Although limited, the results obtained in this study do not support an analgesic efficacy for sPNBs.

Conclusion: In conclusion, even though our data must be viewed within the limitations of our retrospective study and small group size, we did not find any compelling evidence for the efficacy of sPNB administration in the perioperative period.




J Clin Med Res. 2022;14(6):219-228
doi: https://doi.org/10.14740/jocmr4731

Keywords


Single-shot peripheral nerve block; Opioid; Pain management; Postoperative recovery

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Clinical Medicine Research, monthly, ISSN 1918-3003 (print), 1918-3011 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jocmr.org   editorial contact: editor@jocmr.org     elmer.editorial2@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.