Next Article in Journal
Supervised Resistance Training on Functional Capacity, Muscle Strength and Vascular Function in Peripheral Artery Disease: An Updated Systematic Review and Meta-Analysis
Next Article in Special Issue
A Bibliometric Analysis of Published Literature in Postoperative Pain in Elderly Patients in Low- and Middle-Income Countries
Previous Article in Journal
Prognostic Role of Immune Checkpoint Regulators in Cholangiocarcinoma: A Pilot Study
Previous Article in Special Issue
Opioid-Free Anesthesia Benefit–Risk Balance: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Article

Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry

1
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, 07747 Jena, Germany
2
Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, 8036 Graz, Austria
3
Klinik für Anästhesiologie, Operative Intensivmedizin, Notfallmedizin und Schmerztherapie, Marienhospital Gelsenkirchen, 45886 Gelsenkirchen, Germany
4
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, 66421 Homburg, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Patrice Forget
J. Clin. Med. 2021, 10(10), 2194; https://doi.org/10.3390/jcm10102194
Received: 15 April 2021 / Revised: 14 May 2021 / Accepted: 15 May 2021 / Published: 19 May 2021
(1) Background: In many surgical procedures, regional analgesia (RA) techniques are associated with improved postoperative analgesia compared to systemic pain treatment. As continuous RA requires time and experienced staff, it would be helpful to identify settings in which continuous RA has the largest benefit. (2) Methods: On the basis of 23,911 data sets from 179 German and Austrian hospitals, we analyzed the association of perioperative RA with patient-reported pain intensity, functional impairment of movement, nausea and opioid use for different surgeries. Regression analyses adjusted for age, sex and preoperative pain were performed for each surgery and the following groups: patients receiving continuous RA (surgery and ward; RA++), RA for surgery only (RA+−) and patients receiving no RA (RA−−). (3) Results: Lower pain scores in the RA++ compared to the RA−− group were observed in 13 out of 22 surgeries. There was no surgery where pain scores for RA++ were higher than for RA−−. If maximal pain, function and side effects were combined, the largest benefit of continuous RA (RA++) was observed in laparoscopic colon and sigmoid surgery, ankle joint arthrodesis, revision (but not primary) surgery of hip replacement, open nephrectomy and shoulder surgery. The benefit of RA+− was lower than that of RA++. (4) Discussion: The additional benefit of RA for the mentioned surgeries is larger than in many other surgeries in clinical routine. The decision to use RA in a given surgery should be based on the expected pain intensity without RA and its additional benefits. View Full-Text
Keywords: regional anesthesia; RA; acute pain; postoperative pain; pain management; functional impairment; opioid consumption regional anesthesia; RA; acute pain; postoperative pain; pain management; functional impairment; opioid consumption
Show Figures

Figure 1

MDPI and ACS Style

Komann, M.; Avian, A.; Dreiling, J.; Gerbershagen, H.; Volk, T.; Weinmann, C.; Meißner, W. Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry. J. Clin. Med. 2021, 10, 2194. https://doi.org/10.3390/jcm10102194

AMA Style

Komann M, Avian A, Dreiling J, Gerbershagen H, Volk T, Weinmann C, Meißner W. Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry. Journal of Clinical Medicine. 2021; 10(10):2194. https://doi.org/10.3390/jcm10102194

Chicago/Turabian Style

Komann, Marcus, Alexander Avian, Johannes Dreiling, Hans Gerbershagen, Thomas Volk, Claudia Weinmann, and Winfried Meißner. 2021. "Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry" Journal of Clinical Medicine 10, no. 10: 2194. https://doi.org/10.3390/jcm10102194

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop