PD56-12 FEASIBILITY AND EFFICACY OF CONTINUOUS FLOW LOCAL ANESTHETIC PUMPS FOR POST-OPERATIVE ANALGESIA FOLLOWING KIDNEY TRANSPLANTATION

• DOI: 10.1097/01.ju.0001008928.01012.0d.12
• Publication Date: 2024-04-15T21:36:53Z
• Authors: Parth Udayan Thakker; Davis Temple; Caroline Minnick; Dominick Ponzi; Gopal Badlani; Ashok Hemal; William Doares; Christopher Webb; Emily McCracken; Guiseppe Orlando; Colleen Jay; Alan Farney; Robert Stratta
• Keywords: Narcotic

You have accessJournal of UrologyTransplantation & Vascular Surgery II (PD56)1 May 2024PD56-12 FEASIBILITY AND EFFICACY OF CONTINUOUS FLOW LOCAL ANESTHETIC PUMPS FOR POST-OPERATIVE ANALGESIA FOLLOWING KIDNEY TRANSPLANTATION Parth Udayan Thakker, Davis Temple, Caroline Minnick, Dominick Ponzi, Gopal Badlani, Ashok Hemal, William Doares, Christopher Webb, Emily McCracken, Guiseppe Orlando, Colleen Jay, Alan Farney, and Robert Stratta ThakkerParth Thakker , TempleDavis Temple MinnickCaroline Minnick PonziDominick Ponzi BadlaniGopal Badlani HemalAshok Hemal DoaresWilliam Doares WebbChristopher Webb McCrackenEmily McCracken OrlandoGuiseppe Orlando JayColleen Jay FarneyAlan Farney StrattaRobert View All Author Informationhttps://doi.org/10.1097/01.JU.0001008928.01012.0d.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Since 1999, 1 million Americans died an opioid overdose. National programs reduce availability reduced prescriptions all-time low. A signficant proportion narcotic use can be attributed post-operative pain. In the transplant population, ongoing consumption is associated with increased risk graft loss mortality. Transversus abdominus plane blocks been implemented however their effects are short lived. Herein, we sought describe efficacy continuous flow local anesthetic pumps (CFLAP) in control pain after kidney transplantation (KT). METHODS: this single-center, retrospective analysis patients undergoing KT through a unilateral Gibson incision, demographic operative data, peri-operative outcomes, complications, inpatient data was collected. descriptive patient perioperative conducted. Continuous were summarized as medians interquartile ranges compared using Wilcoxon rank-sum test. Categorical frequencies percentages Fisher's exact RESULTS: 498 underwent from 2020 2022. 296 (59%) received PCA, 202 (41%) CFLAP for analgesia. Demographic pre-operative variables similar between groups. The total oral morphine equivalent requirement significantly lower group [2.5 (0.4-31) vs 34 (13-67) milligrams, p<0.001]. Median days return bowel function shorter [2 (2-3) 3 days, p=0.03]. length stay [4 (3-4) 4 p=0.80]. Wound-related complications higher [5.9% 2.7%, Two (0.9%) experienced cardiac arrhythmia likely due toxicity requiring lipid infusion. CONCLUSIONS: Compared provided 93% reduction decreased time wound-related complication rate KT. suspected related Providers should cognizant symptoms toxicity. With appropriate precautions, utility CFLAPs may applicable any surgical incision including Gibson, flank, subcostal incisions. Source Funding: None © 2024 by American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1207 Advertisement Copyright Permissions© Inc.Metrics Information More articles author Expand PDF downloadLoading ...