Block, Pain
Conditions
Keywords
REBOUND PAIN, PERIPHERAL NERVE BLOCKS, analgesia
Brief summary
In recent years, the use of regional anesthesia techniques as part of multimodal analgesia strategies to maximize pain control in patients has reduced opioid requirements and promoted early mobility and rehabilitation in the perioperative period. Regional anesthesia has benefits, mainly peripheral nerve blocks (PNB), muscle relaxation, and postoperative analgesia, thus allowing for control of postoperative pain and early discharge from the hospital. In addition, using PNB techniques provides: Hemodynamic stability. Reduced need for a post-anesthetic care unit (PACU). Reduced unplanned hospitalization for pain control. Less airway management. Reduced incidence of opioid-related adverse events. Greater patient satisfaction The main feature of rebound pain is that it is severe pain, within 8-24 hours after PNB. It usually remains severe for 2-6 hours, but the subsequent pain trajectory is consistent with the recovery process expected at surgical intervention. Therefore, rebound pain is temporary and different from persistent post-surgical pain (PPSP). Rebound pain often occurs at night. However, this is probably related to the 8 to 12-hour duration of most single-injection PNBs and the completion of most elective surgeries during daylight hours.
Detailed description
This study aims to reveal the rebound pain profile, determine the risk factors, and contribute to developing strategies that can prevent rebound pain.
Interventions
OTHERPERIPHERAL NERVE BLOCK
Observation of rebound pain after peripheral nerve block application
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged \>18 years who underwent orthopedic surgery with the peripheral nerve block
Exclusion criteria
* Patients who did not want to participate in the study * dementia * severe psychiatric or cognitive dysfunction * coagulopathy * neuropathic disorder * local anesthetic allergy * serious heart-lung disease * chronic opioid use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of rebound pain | perioperative period | Rebound pain-defined as transient acute postoperative pain within 12-24hrs that ensues following resolution of sensory blocked. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rebound pain risk factors | perioperative period | such as age, gender, and presence of preoperative pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed