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Elastomeric pumps for ambulatory patient controlled regional analgesia.

Publication ,  Journal Article
Ganapathy, S; Amendola, A; Lichfield, R; Fowler, PJ; Ling, E
Published in: Can J Anaesth
September 2000

PURPOSE: To report our experience with the use of the (Eclipse) elastomeric pump for ambulatory Patient Controlled Regional Analgesia (PCRA) METHOD: After a pilot study using this device in patients admitted to the hospital, seven patients received PCRA at home using the elastomeric pump. Patients with a variety of continuous regional anesthetic blocks were sent home with written and verbal instructions regarding the use of this device, boluses, side effects of local anesthetics and removal of block catheters. Patients were contacted daily to collect data with regards to the efficacy of the block, problems associated with the use of this device and their satisfaction with the method of analgesia. RESULTS: During the pilot study there were two catheter disconnections requiring rescue analgesics. Two patients had the entire contents of the bulb delivered over several minutes. Among the seven patients receiving PCRA at home, one patient had to be admitted to the hospital. One patient had block catheter slip out during transit. The volume delivered could not be measured. Patients found it difficult to know if the drug had been delivered. Three patients noted that the pumps were empty earlier than expected. One patient found it difficult to change the bulb. No patient had difficulty with catheter removal or with bolusing. CONCLUSIONS: PCRA offers excellent postoperative analgesia at home. Elastomeric pumps facilitate PCRA but are imprecise with drug delivery and may not be safe for epidural infusions. The safety of this device for peripheral nerve blocks should be evaluated further.

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Published In

Can J Anaesth

DOI

ISSN

0832-610X

Publication Date

September 2000

Volume

47

Issue

9

Start / End Page

897 / 902

Location

United States

Related Subject Headings

  • Pilot Projects
  • Pain, Postoperative
  • Infusion Pumps
  • Humans
  • Female
  • Elastomers
  • Anesthesiology
  • Analgesia, Patient-Controlled
  • Adult
  • 3202 Clinical sciences
 

Citation

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Ganapathy, S., Amendola, A., Lichfield, R., Fowler, P. J., & Ling, E. (2000). Elastomeric pumps for ambulatory patient controlled regional analgesia. Can J Anaesth, 47(9), 897–902. https://doi.org/10.1007/BF03019672
Ganapathy, S., A. Amendola, R. Lichfield, P. J. Fowler, and E. Ling. “Elastomeric pumps for ambulatory patient controlled regional analgesia.Can J Anaesth 47, no. 9 (September 2000): 897–902. https://doi.org/10.1007/BF03019672.
Ganapathy S, Amendola A, Lichfield R, Fowler PJ, Ling E. Elastomeric pumps for ambulatory patient controlled regional analgesia. Can J Anaesth. 2000 Sep;47(9):897–902.
Ganapathy, S., et al. “Elastomeric pumps for ambulatory patient controlled regional analgesia.Can J Anaesth, vol. 47, no. 9, Sept. 2000, pp. 897–902. Pubmed, doi:10.1007/BF03019672.
Ganapathy S, Amendola A, Lichfield R, Fowler PJ, Ling E. Elastomeric pumps for ambulatory patient controlled regional analgesia. Can J Anaesth. 2000 Sep;47(9):897–902.
Journal cover image

Published In

Can J Anaesth

DOI

ISSN

0832-610X

Publication Date

September 2000

Volume

47

Issue

9

Start / End Page

897 / 902

Location

United States

Related Subject Headings

  • Pilot Projects
  • Pain, Postoperative
  • Infusion Pumps
  • Humans
  • Female
  • Elastomers
  • Anesthesiology
  • Analgesia, Patient-Controlled
  • Adult
  • 3202 Clinical sciences