Continuous ambulatory adductor canal catheters for patients undergoing knee arthroplasty surgery

Neil A. Hanson, Phoebe H. Lee, Stanley C. Yuan, Daniel S. Choi, Cindy Jo Allen, David B. Auyong

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Study Objective To determine after knee arthroplasty surgery the feasibility of discharging patients home on postoperative day 1 with continuous adductor canal blocks. Design Retrospective case series. Setting Outpatient setting after hospital discharge. Patients Patients undergoing knee arthroplasty surgery from October 2013 to August 2014. Interventions All patients received continuous adductor canal catheters for postoperative analgesia and were discharged to home on postoperative day 1. Continuous catheters were intended to remain intact in the ambulatory setting through postoperative day 3. Measurements Data obtained included demographic information, duration of hospital stay, resting and active pain scores, opioid utilization, opioid-induced adverse effects, complications relating to the perineural catheter, and hospital readmissions. Main Results Sixty-nine of 582 patients (11.9%) were discharged to home on postoperative day 1. The median numerical pain score after discharge with a continuous adductor canal block was ≤2 at rest and ≤4 with activity. After block discontinuation on postoperative day 4, median pain scores were the same. No patients reported any unintentional catheter dislodgements, falls, or dysesthesias. There were no readmissions of any patient in this cohort within 90 days of surgery. Conclusions Ambulatory adductor canal catheters are a feasible analgesic modality after knee arthroplasty surgery as pain scores remained low and adverse events were minimal.

Original languageEnglish (US)
Pages (from-to)190-194
Number of pages5
JournalJournal of Clinical Anesthesia
Volume35
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Bibliographical note

Funding Information:
All funding and financial support for this study was provided by internal institutional funds.

Publisher Copyright:
© 2016 Elsevier Inc.

Keywords

  • Adductor canal block
  • Continuous nerve block
  • Knee arthroplasty surgery
  • Length of stay
  • Readmissions

Fingerprint

Dive into the research topics of 'Continuous ambulatory adductor canal catheters for patients undergoing knee arthroplasty surgery'. Together they form a unique fingerprint.

Cite this