Continuous local anesthetic wound infusion in patients with
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Investigators found that continuous local anesthetic wound infusion is associated with a reduction in postoperative pain following head and neck surgery.

This JAMA study was aimed to investigate the association of continuous local anesthetic wound infusion with pain management after head and neck surgery.

This prospective, longitudinal, nonrandomized clinical study carried out in a single tertiary referral center included 2 groups of 30 patients. Patients were consecutively enrolled and presented for ablative head and neck surgery including selective neck dissection and studied from the preoperative through the fourth postoperative day.

--During postoperative days 1 through 4, patients of the intervention group experienced lower mean (SD) and maximum pain intensities compared with the control group.

--The intervention group also reported less neuropathic pain and higher quality of life regarding vitality and pain.

--Patients from the intervention group requested nonopioid analgesics considerably less often associated with a noticeably lower need to escalate pain treatment. No catheter-associated complications were observed.

Continuous anesthetic wound infusion is associated with reduced postoperative pain and decreased demand for analgesics. It, therefore, expands the treatment options for postoperative pain in head and neck cancer.

Source: https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2778438
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