HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

On-Q pump for pain control after orbital implant surgery.

AbstractPURPOSE:
To introduce an elastomeric continuous infusion pump for pain control after outpatient orbital implant surgery.
METHODS:
Retrospective, noncomparative consecutive case series of all patients undergoing enucleation, evisceration, or secondary orbital implantation using the On-Q pain system between August 2004 and January 2006. Postoperative pain score, need for narcotics, and adverse events were recorded. The On-Q catheter is inserted intraoperatively through the lateral lower eyelid into the muscle cone under direct visualization, prior to the orbital implant placement. The On-Q system continually infuses anesthesia (bupivacaine) to the retrobulbar site for 5 days.
RESULTS:
Among 20 patients, mean postoperative period pain score, with On-Q in place, was 1.3 (scale of 0 to 10). Nine patients (45%) did not need any adjunctive oral narcotics. Two patients experienced postoperative nausea. One catheter connector leaked, thereby decreasing delivery of retrobulbar anesthetic resulting a pain level of 6, the highest level in the study. There were no postoperative infections. No systemic toxic effects from bupivacaine were observed clinically.
CONCLUSION:
The On-Q pain pump is widely available, low cost, and requires minimal patient manipulation for the use in orbital implant surgery. The device was safe and appeared to minimize postoperative pain in the authors' case series.
AuthorsDavid B Samimi, Melanie H Erb, Arthur C Perry, Michael A Burnstine, Steven C Dresner
JournalOphthalmic plastic and reconstructive surgery (Ophthalmic Plast Reconstr Surg) 2014 Sep-Oct Vol. 30 Issue 5 Pg. 396-9 ISSN: 1537-2677 [Electronic] United States
PMID24777268 (Publication Type: Journal Article)
Chemical References
  • Anesthetics
  • Bupivacaine
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Anesthetics (administration & dosage)
  • Bupivacaine (administration & dosage)
  • Eye Enucleation
  • Eye Evisceration
  • Eye Pain (diagnosis, drug therapy)
  • Female
  • Humans
  • Infusion Pumps
  • Male
  • Middle Aged
  • Orbital Implants
  • Pain Measurement
  • Pain, Postoperative (diagnosis, drug therapy)
  • Retrospective Studies

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: