Article: Popliteal blocks cause rebound pain compared to anesthesia

[ADMIN]

You can view the page at http://www.nurse-anesthesia.org/content.php/221-Popliteal-blocks-cause-rebound-pain-compared-to-anesthesia?

[nerveblocker]

The common mistake in managing these patients is that there is readiness for block cessation. The patient pain comes on rapidly, and the elapsed time is too great to receive proper pain management. I think the addition of NSAIDs to reduce the rebound pain by inhibiting the inflammatory process early will reduce this. The pain, probably normal- and renamed "rebound" may prevent some providers from placing these beneficial blocks for patients- who otherwise would well served by having them.Lets also note that the author is an othopod- the same sort that is fielding calls regarding this sharp increase in pain with normal block cessation. There's loads of great articles that advocate popliteal blocks, especially with ultrasound for ankle and foot surgery.

[Unregistered]

This is the dumbest article I've ever read, of course they're going to experience rebound pain, WHEN THE BLOCK WEARS OFF 8 - 24 hours later!!!! The problem is that the patients are so comfortable with the block that they fail to use any pain medication at all, so when the block wears off rapidly they experience pain.

[Salty]

This falls into the same category as the patients who have the horrible experience of recall and lower extremity paralysis during surgery under SAB.. It's all about realistic patient expectations and preparation. The sad fact is, some patients do not process what you tell them even if you write it backwards on their foreheads--"take your pain medications before the block wears off!"