IMPROVING POSTOPERATIVE REHABILITATION FOLLOWING MAJOR ORTHOPEDIC SURGERY

改善大型骨科手术后的术后康复

• 批准号: 7605448
• 负责人: Linda T Le
• 金额: $ 2.47万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-12-23 至 2007-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7605448
• 关键词: Absence of pain sensation; Admission activity; Ambulatory Surgical Procedures; Analgesics; Brachial plexus structure; Catheters; Client satisfaction; Computer Retrieval of Information on Scientific Projects Database; Convalescence; Daily; Effectiveness of Interventions; Elbow; Funding; Grant; Health Care Costs; Hospitals; Infusion Pumps; Infusion procedures; Institution; Intravenous; Local Anesthetics; Opioid; Oral; Orthopedic Procedures; Orthopedic Surgery procedures; Outcome; Pain; Patient Discharge; Physical therapy; Pilot Projects; Postoperative Pain; Postoperative Period; Procedures; Randomized Controlled Trials; Rehabilitation therapy; Research; Research Personnel; Resources; Shoulder; Sleep disturbances; Source; United States National Institutes of Health; Upper Extremity; improved; perineural

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Major orthopedic surgery of the upper extremity, such as total shoulder or elbow replacement, results in severe postoperative pain that has traditionally required a hospital admission to provide intravenous opioids. Furthermore, the convalescence period and ultimate outcome of many procedures is dependent upon intensive physical therapy following discharge that is often limited by severe pain. While the typical hospital admission duration is 1-3 nights, following discharge patients do not have the benefit of intravenous opioids and must rely on far-less potent oral opioids to provide analgesia both during and following their frequent daily physical therapy sessions. Local anesthetic infused via a perineural catheter has been demonstrated to provide potent postoperative analgesia. Therefore, utilizing perineural brachial plexus local anesthetic infusion with portable infusion pumps, the proposed study will (1) evaluate the feasibility of converting major orthopedic procedures of the upper extremity currently requiring a hospital admission solely for analgesia into ambulatory surgery with a pilot study; and (2) evaluate the effects of this intervention on physical therapy and the rehabilitation period with a randomized, controlled trial. Other factors that will be investigated include postoperative pain, oral opioid requirements, sleep disturbances, patient satisfaction, resource utilization, and health-care costs.

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