Pain, Postoperative
Conditions
Brief summary
By utilizing regional anesthesia blocks at the surgery tissue donor sites, it can potentially reduce post-operative pain while also reducing the use of opioids. It can aim to measure the reduction in opioid use, reduction in pain scores, patient satisfaction, and because there is not a current protocol established for regional anesthesia use for free flap reconstruction, and we aim to standardize the procedure.
Interventions
Block performed is an indwelling wound bed or popliteal catheter placed intraoperatively
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects undergoing microvascular fibula free flap reconstruction of the head and neck * Subjects undergoing primary reconstruction for both benign and malignant etiology
Exclusion criteria
* Pregnant women * Subjects with true allergies to the study drugs, reporting anaphylaxis in the past * Subjects undergoing reconstruction with more than 1 free flap * Subjects undergoing secondary reconstructions * Subjects undergoing surgery for osteonecrosis * History of enrollment in a pain management program * Any subject currently enrolled in pain management, or currently taking long acting opioids such as methadone or oxycontin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | 72 hours (3 days) post-operatively | Subjects' morphine equivalent dose. Postoperative period commences at extubation. |
Countries
United States