Abdominoplasty, Anesthesia
Conditions
Keywords
abdominoplasty, postoperative analgesia, regional anesthesia, epidural anesthesia, epidural catheter
Brief summary
Effective postoperative pain management is essential for patient satisfaction and therefore intraoperative regional nerve blocks have become more and more popular in abdominoplasties. However, the key disadvantage of these blocks are their limited duration of action. This observational study evaluates the effects of a longer- lasting, individualized epidural analgesia using a pain pump to better classify the clinical value of this procedure.
Detailed description
This work reviews the digital medical charts of patients who underwent selective abdominoplasty without additive surgical procedures within a period of 4 years. Evaluated data comprise the postoperative analgesia regimen, including on-demand medication, mobilization time, inpatient length of stay, and clinical outcome. The patients were grouped by the presence of an epidural catheter.
Interventions
PROCEDUREEpidural anesthesia
Postoperative pain management by epidural anesthesia via epidural catheter and pain pump
Sponsors
ISAR Klinikum
Klinik Bogenhausen
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
• Patients who underwent abdominoplasty
Exclusion criteria
• Patients who underwent abdominoplasty combined with additional intraoperative procedures (e.g., liposuction, hernia repair) were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| frequency of retrieval of the on-demand non-epidural opiate | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | frequency of retrieval of the on-demand non-epidural opiate as a measure of perceived pain discomfort |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative mobilization ability | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | the time at which the patient was able to move at room level with the assistance of a nurse (assisted full mobilization), the time at which the patient was able to get out of bed independently and move without assistance (independent full mobilization) |
| timing of urinary catheter removal | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | timing of urinary catheter removal after surgery |
| length of hospital stay | from the day of inpatient admission to the day of discharge of every included patient. The event determined by reviewing digital medical charts, is therefore assessed for an estimated period of up to 7 days | number of days from the day of surgery until dischargement |
Countries
Germany
Outcome results
None listed