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IV PCA vs Continuous Block for Rebound Pain After Distal Radius Surgery
August 2025
IV PCA vs Continuous Block for Rebound Pain After Distal Radius Surgery
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Does intravenous patient-controlled analgesia or continuous block prevent rebound pain following infraclavicular brachial plexus block after distal radius fracture fixation? A prospective randomized controlled trial.
Korean J Anesthesiol . 2023 Dec;76(6):559-566.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Sixty-six patients with displaced distal radius fractures treated with volar plate fixation were randomized to a single infraclavicular block (BPB only; n=22), BPB plus opioid-based IV patient-controlled analgesia (PCA) (n=22), or brachial plexus block (BPB) plus continuous infraclavicular block (n=22). The primary outcome was pain (VAS) at 12 hours; secondary outcomes included opioid-equivalent c...
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