The time that the pump empties will depend on the volume of the ON-Q PainBuster® attached to the soaker catheter.The rate may be 2ml/h or 5 ml/h depending on the pump specification.ON-Q PainBuster® used at RCH is pressurized to deliver LA at a specified rate that cannot be adjusted.There is no risk to patients with latex allergies. The middle layer is made from natural rubber latex. There are three layers: the inner layer is where the anaesthetic agent is placed and does not contain natural rubber latex.It should always be filled to its specified volume as delivery becomes inaccurate if it is under- or over-filled. At the time of filling, the ON-Q PainBuster® pump is round and firm.The nurse will document when the infusion starts.The medication labels are to be printed and attached to the pump and lines and checked by two nurses with the MAR and patient details.The clamp is usually unclamped in PACU unless otherwise ordered.The filter vent should not be taped or covered.The pump should be positioned below the catheter site to ensure accurate flow.In order to work, the clamp must be unclamped. The tubing attached to the soaker catheter has a clamp.The ON-Q PainBuster® must be prescribed by the Anaesthetist in the MAR as outlined by the Pain Management Guidelines for Regional Anaesthetic Infusion Blocks.The soaker catheter must not be cut / shortened.The soaker catheter is inserted by the surgeon and the ON-Q PainBuster® device filled and attached in the operating theatre by the theatre nursing staff.It is also used for continuous infusion of LA perineurally after upper limb or lower limb surgery where blocking a peripheral nerve’s conduction, is likely to reduce postoperative pain. The device is for continuous infusion of LA through a wound catheter in patients who are likely to have pain at the site of surgery eg: bone/cartilage donor sites, lower limb surgery and laparotomy. ON-Q PainBuster®: a small disposable pump that continuously delivers local anaesthetic which is connected to an ON-Q soaker catheter.ON-Q soaker catheter: a tube similar in size to an epidural catheter with fenestrations along a variable length (2.5cm, 6.5cm, 12.5cm and 25cm) and black markings indicating the distance from the most proximal fenestration.Local Anaesthesia: an agent which blocks the conduction of impulses in nerve tissues through sodium channel deactivation.Pain Buster infusions may be used alone in some situations along with simple analgesia.Indicated to reduce opioid requirements, minimise opioid tolerance and related nausea, vomiting and constipation when prolonged opioid administration is anticipated.Pain Buster infusions may be used in conjunction with opioids, when using opioid infusions alone would result in inadequate analgesia.To provide continuous delivery of LA for the management of moderate to severe pain.To outline the process of Pain Buster insertion and management throughout the patient journey intraoperatively and will be set up and working prior to transfer from the operating theatre.To provide guidance on the Pain Busters intended use in post-operative pain relief by delivering a continuous infusion of local anaesthetic directly into the surgical site.To provide nursing staff with a standardised guideline to enable safe and appropriate care of children with a Pain Buster for post-operative pain relief.The ON-Q PainBuster® system is light and can be carried in a small cloth bag for improved patient mobility The syringe pump is heavy and needs to be fixed to a pole which may inhibit patient mobility and physiotherapy. The Alaris syringe drivers are required to be programmed (locked) and the syringe refilled by nursing staff on the ward as indicated in the MAR. The LA is delivered through an On-Q Soaker Catheter to the On-Q Pain Buster systemĪlternatively, LA can be delivered through a wound catheter using a syringe driver colour coded yellow to identify it as regional analgesia. At the time of surgery a catheter is placed alongside a peripheral nerve or beneath the surgical incision to enable the delivery of LA directly where it is needed. The use of a continuous LA infusion has been shown to reduce post-operative pain and opioid requirement following surgery and may be used as part of a multimodal analgesia strategy. The catheter can be placed perineurally (alongside a peripheral nerve) or under a surgical incision (wound catheter). The ON-Q PainBuster® is an elastomeric pump that contains a reservoir of local anaesthetic (LA) that is infused at a constant and preset rate through a catheter that is fenestrated over 4 lengths depending on the catheter used. Note: This guideline is currently under review.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |