title: Forefoot postoperative continuous pain control by nonelectronic device.
abstract: The authors present a system against postoperative pain in forefoot operations, which functions by continuous infusion of anesthetic in the malleolar internal space. The system (Single-Day Baxter Infusor) was utilized in 145 patients who had undergone forefoot surgery. The effectiveness of the method was evaluated by means of a numeric scale (0 to 5) reflecting pain level. The method was effective in controlling postoperative pain in 110 cases (score 0 to 1); 25 cases (score 2) reported pain in the dorsal hallux, in the deep peroneal area, whereas in 10 cases (score 4 to 5 on the scale), nonsteroidal anti-inflammatory drugs had to be administered.
authors.affiliation: Institute of Orthopedics, University of Modena, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Barca
authors.forename: E
authors.initials: E
authors.lastname: Bertellini
authors.forename: A
authors.initials: A
authors.lastname: Siniscalchi
mesh_terms: D001172:Arthritis, Rheumatoid / Q000601:surgery; D002045:Bupivacaine / Q000008:administration & dosage*; D004867:Equipment Design; D005545:Forefoot, Human / Q000294:innervation / Q000601:surgery*; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D007260:Infusion Pumps; D009463:Neuroma / Q000601:surgery; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D017060:Patient Satisfaction; D012983:Soft Tissue Neoplasms / Q000601:surgery; D013979:Tibial Nerve / Q000187:drug effects
chemical_list: D002045:Bupivacaine