Abstract
This paper presents the results of a retrospective case-controlled cohort study to investigate the effectiveness of a donor-site local anaesthetic infusion protocol to reduce opioid requirements, length of intensive therapy unit (ITU) stay, and incidence of postoperative delirium. Adult free flap head and neck patients were identified from a prospective database (n = 86). There was a significant reduction in mean opioid requirements (p < 0.001). Postoperative delirium was observed in 12 of 35 patients before introduction of the protocol, and in 10 of 51 patients after its introduction (p = 0.139). Donor-site local anaesthetic infusion reduces opioid requirements for patients undergoing head and neck free flap reconstruction, and is a valuable adjunct to an enhanced recovery protocol.
| Original language | English |
|---|---|
| Pages (from-to) | 196-198 |
| Number of pages | 3 |
| Journal | British Journal of Oral and Maxillofacial Surgery |
| Volume | 60 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2022 |
Keywords
- continuous local anaesthetic wound infusion
- enhanced recovery after surgery (ERAS)
- head and neck oncology
- opioid analgesia
- postoperative delirium
- reconstructive surgery
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