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Pediatric Surgery International

Published in:

01-12-2013 | Original Article

On-Q^® pain pump versus epidural for postoperative analgesia in children

Authors: Elizabeth M. Pontarelli, Jamil A. Matthews, Catherine J. Goodhue, James E. Stein

Published in: Pediatric Surgery International | Issue 12/2013

Abstract

Purpose

The On-Q^® pain pump provides a continuous infusion of local anesthesia for management of postoperative pain. The objective of this study was to assess the efficacy and outcomes of the On-Q^® pump compared to continuous epidural in children postoperatively.

Methods

We performed a retrospective review of patients in our hospital who received a postoperative epidural or On-Q^® pump from 2005 to 2008. Patients were sub-categorized by incision type.

Results

Seventy patients received epidural and 66 On-Q^®. On-Q^® therapy was longer by 1 day (p < 0.0001), but did not affect postoperative length of stay. Patients with On-Q^® pumps had a decreased rate of Foley catheter placement (p = 0.002) and shorter duration of catheter use by more than a day (p < 0.001). Moderate to severe pain was similar in the two groups on postoperative days 0–5. Supplemental narcotic use was higher in the On-Q^® group only on postoperative day 1 (p = 0.005) and in patients with midline and transverse abdominal incisions. No differences were seen in time to ambulation or recovery of postoperative ileus.

Conclusion

The On-Q^® pain pump is an effective method for postoperative pain control, without the inherent risks of epidural catheters.

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Title: On-Q® pain pump versus epidural for postoperative analgesia in children
Authors: Elizabeth M. Pontarelli
Jamil A. Matthews
Catherine J. Goodhue
James E. Stein
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 12/2013
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-013-3342-4

At a glance: The STEP trials

Springer Medicine

On-Q^® pain pump versus epidural for postoperative analgesia in children

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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