Ultimate Guide to Continuous Catheters & Pain Pumps: Expert Insights & Best Practices 🩺

This webinar discusses continuous catheters and pain pump technology with a panel of experts including:
• Dr. Jeffrey Gadsden from Duke University Medical Center, who is the moderator
• Dr. Leslie Thomas, Director of Anesthesia at the Orthopedic and Sports Medicine Hospital in New Orleans, Louisiana
• Dr. Jerry Jones, Anesthesiologist of East Memphis Anesthesia Services
Webinar originally recorded on March 10, 2022.

Key points:
• High-impact cases for long-duration blocks: Total knees, rotator cuff repairs, and hip fractures are mentioned as cases where extended nerve blocks are beneficial [04:16]. Continuous catheters can help manage pain, reduce opioid use, and improve patient outcomes in these scenarios [04:54].
• Catheter design: The two main designs are catheter-through-needle and catheter-over-needle [10:24]. Dr. Jones demonstrates tips and tricks for placing both types of catheters [10:55].
• Catheter placement: Considerations include the relationship with surgeons, tourniquet placement, and avoiding nerve damage [18:21]. The panel discusses the advantages and disadvantages of single end-hole versus multiple side-hole catheters [19:01].
• Pain pumps: Electronic pumps with programmed intermittent bolus (PIB) and patient-controlled demand dosing are highlighted for their effectiveness in pain management [31:26]. These pumps offer predictable drug delivery, reduce opioid consumption, and improve patient satisfaction [32:51].
• Practical considerations: The panel discusses adjusting local anesthetic dosage based on patient height [23:01], managing catheter leakage [22:50], and addressing potential issues like alarms and occlusions [46:17].
• Future directions: The panel envisions features like smartphone-controlled pumps and real-time patient data monitoring to further improve pain management [52:25].
• Tips and Tricks: The panel also shares tips and tricks for successful catheter and pump use, emphasizing the importance of education, organization, and a gradual implementation approach [58:38].

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