49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

Continuous Perineural Nerve Blocks for Burn Management: A Retrospective Study of Outcomes and Complications in 281 Burn Patients

Continuous peripheral nerve blocks (cPNBs) are commonly utilized for pain control following surgery and trauma.1 cPNBs provide excellent postoperative analgesia for days following surgery, prevent or limit adverse side effects from opioid analgesics, and may reduce the transition from acute to chronic pain following surgery.2 Burns are associated with intense pain and high rates of transition from acute to chronic pain. Opioids have historically been the mainstay of analgesia for burn patients; however, opioid analgesics are associated with increased incidence of hyperalgesia in the burn population.3 As burns are often isolated to one or more extremities and require prolonged and intense analgesia, cPNBs would seem an ideal analgesic modality in this population and may potentially facilitate bedside burn debridements that would otherwise require general anesthesia in the operating room. Surprisingly little has been reported in the literature regarding the use of regional anesthesia for inpatient burn management. Although there is increasing interest in utilization of regional anesthesia for burns,4 there is a paucity of data for outcomes and complications. Although catheter infection rates have been extensively documented in the trauma and orthopedic patient populations, burn patients may be at increased risk of catheter site infections.5 To give insight on outcomes and complication rates of cPNBs in burn patients, we reviewed all burn patients from an American Burn Association Regional Burn Center who were treated with a cPNB from 2018-2023.

49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

CONTINUOUS PERIPHERAL NERVE BLOCKS FOR BURN MANAGEMENT: A RETROSPECTIVE STUDY OF OUTCOMES AND COMPLICATIONS IN 281 BURN PATIENTS

Poster Presenter

Authors

Affiliations

Part of Topic