Introduction
Local anesthetic infusion with Rectus Sheath Catheters are known to provide effective post-laparotomy analgesia. Avoiding some of the side-effects associated with opioid.
Methods
40 patients who underwent laparotomy and had rectus sheath catheter inserted over the last 3 years by a single surgeon in Peterborough city hospital ,Data was collected retrospectively from E-Track and Evolve. The aim of this audit is to compare current practice against the set Trust Guidelines for the use of local anesthetic infusion via a catheter for the management of pain in adults.
Results
Only 50% of patients required PCA with rectus sheath catheters post laparotomy(Of those patients who had PCA, mean duration of PCA is 2.1 days).
conclusion :Full compliance with most of trust guidelines measures , improvement required regarding if Patients requiring rectus sheath catheters over 5 days post-op laparotomy should be formally assessed by acute pain team as stated in the trust guidelines.
Authors
Fady Shafeik
Peterborough city hospital NHS, Peterborough, United Kingdom
Royal Berkshire NHS hospital, Reading, United Kingdom
Aarti Kalyanarman
Peterborough city hospital NHS, Peterborough, United Kingdom
Mohammad Hossain
Peterborough city hospital NHS, Peterborough, United Kingdom
Bryan Leong
Peterborough city hospital NHS, Peterborough, United Kingdom