Table 1:
Patient demographics and clinical course
| Indication | Block and Catheter | %Change in opioid use# | Catheter duration | Opioid related adverse events | Multimodal adjuncts for pain management | Admission duration | ||
|---|---|---|---|---|---|---|---|---|
|
Case 1
16y F with HbSS (wt: 60kg) |
Left upper extremity pain (AVN of left humeral head) | Left Supraclavicular nerve block catheter | −78.7% | 2 days | Constipation Sedation pruritis |
Ketorolac Ketamine Acetaminophen Lidocaine patch |
6 days | |
|
Case 2
13y M with HbSS (wt: 59kg) |
Left shoulder pain (history of AVN) | Left interscalene nerve block catheter | −47.5% | 2 days | Constipation Sedation |
Ketorolac/Ibuprofen Acetaminophen Lidocaine patch Methocarbamol |
10 days | |
|
Case 3 11y M with HbS/β0 (wt: 59kg) |
Right upper extremity pain (AVN of right humeral head) | Right interscalene nerve block catheter | −79.6% | 2 days | Constipation | Ketorolac/Ibuprofen Ketamine Acetaminophen Lidocaine Patch Methocarbamol Gabapentin Diclofenac gel |
12 days |
AVN = avascular necrosis.
#
percent change in opioid use, comparing 24 hours prior to block and 24 hours after block. (%change)= [(pre-block use)-(post-block use)]/(pre-block use)*100%