Conclusion
Continuous peripheral nerve blocks delivered via electronic ambulatory infusion pumps are cost-effective in
optimizing pain management in postsurgical patients. CPNBs are also a preventative measure in addressing
the opioid epidemic for the surgical population—minimizing opioid consumption and persistent postsurgical
pain. The InfuBLOCK
®
program has a proven track record and takes the burden off of facilities and clinicians,
making it easier to implement a cPNB home program.
About Us
is a provider of ambulatory infusion pumps and related clinical support to over 40,000 patients
annually, nationwide. https://infusystem.com/block
is a manufacturer of ambulatory pumps focused on pain management used in all settings,
including hospitals, surgical centers and the home. www.smiths-medical.com
To determine if a patient is a candidate for regional anesthesia, consider factors such as the
primary indication for surgery, coexisting diseases, potential contraindications, and the
patient's psychological state.
10
Absolute contraindications, though rare, include patient refusal,
active
infection at the site of puncture, and a true allergy to amide local anesthetics.
Recommendations for the use of Peripheral Regional Anesthesia
9
Clinicians should consider use of surgical site–specific peripheral regional analgesic techniques in adults and
children as part of multimodal analgesia, particularly in patients who undergo lower and upper extremity
surgical procedures.
Clinicians should be familiar with the specific regional anesthetic techniques used, including use of
ultrasound guidance, as well as the potential for motor blockade and risk of falls.
Clinicians should be aware of case reports of critical failures involving elastomeric pumps resulting in early
delivery or complete emptying of the pump, in some cases resulting in death. Unlike electronic pumps,
elastomeric pumps do not have alarms. If elastomeric pumps are used:
• Staff and patient and/or caregiver are required to monitor for pump failure
• Patients should be educated on the signs, symptoms, and emergency management of local
anesthetic toxicity.
The use of continuous rather than single-injection peripheral techniques is preferred when the duration of
postoperative pain is likely to be prolonged. Single-injection is best suited for procedures in which post-op
pain is expected to last no more than 12-24 hours. Patients with pain lasting longer than 24 hours are at risk
for significant rebound pain after discharge
11
.
WHO'S A CANDIDATE?
