Rectus sheath catheters-a novel approach to perioperative analgesia for colorectal surgery in an enhanced recovery after surgery (ERAS) protocol: a case series.

David Rotstein, Chang Park, Sergey Khaitov, Elisha Dickstein

Abstract readCase Reports

In one paragraph

Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

0.4field-weighted citation impact, top 34% of its field

1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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1 citing paper in PubMed, 2 citations in OpenAlex.

Pain management after laparoscopic colorectal surgery: inference to central neuraxial analgaesia and nerve blocks.Annals of the Royal College of Surgeons of England · 2021
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5 · Who and what money

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4 authors at 1 institution in 1 country.

David RotsteinDepartment of Anesthesiology, Perioperative, and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY, 10029, USA. david.rotstein@mountsinai.org.

Chang ParkDepartment of Anesthesiology, Perioperative, and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY, 10029, USA.

Sergey KhaitovDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Elisha DicksteinDepartment of Anesthesiology, Perioperative, and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY, 10029, USA.

Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOpioids have played a critical role in the management of perioperative pain following abdominal surgery. Increasing attention is being paid to the deleterious side effects and limitations of this practice. This case report offers a novel alternative to opioid-based analgesia in the form of rectus sheath catheters (RSCs) which we employed as part of an enhanced recovery after surgery (ERAS) protocol.

methodsThree patients underwent laparoscopic- assisted colorectal surgery and were treated intra- and postoperatively with local anesthesia administered via bilateral rectus sheath catheters as well as by multimodal adjuncts. Evaluations of the patients' pain scores, opioid usage, and abdominal sensitivity to sharp stimuli were conducted daily.

resultsThe patients demonstrated a substantially lessened opioid requirement over their hospital stay with two of them requiring no opioid analgesic medications postoperatively. DISCUSSION: We suggest that the incorporation of these catheters into an ERAS protocol can play an important role in further reducing perioperative opioid usage for procedures in which pain control can be especially challenging.

Indexed as

CathetersAdolescentAgedAnalgesics, OpioidAnesthetics, LocalColorectal SurgeryFemaleHumansMaleMiddle AgedPain MeasurementPostoperative PainRectumAnalgesics, OpioidAnesthetics, LocalCatheterERASOpioidsPainRegional

Identifiers

PMID31089874

DOI10.1007/s00384-019-03309-y

OpenAlexW2944983385

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.