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- W2331781027 abstract "Continuous delivery of regional anesthesia via elastomeric pump systems is a powerful method for delivering non-opioid analgesia in the postoperative setting1 and presents pharmacy practice challenges.2,3 Increased regulatory scrutiny mandates pharmacy-sourced medication delivery and eliminates preparation within the surgical suite.4 Since 2009, Fallbrook Hospital (FBH), a 47-bed rural hospital, has used this pump methodology for 250 knee and shoulder procedures. FBH uses the 400-mL On-Q C-bloc elastomeric pump system (I-Flow Corporation, Lake Forest, CA) and fills it with up to 550 mL of a ropivacaine solution. The contraction of the elastomeric ball against the fluid provides pressure to deliver the anesthetic to the femoral or scalene nerve. Flow is controlled via a rate-control valve to provide continuous delivery of the anesthetic solution at 2–14 mL/hr; a patient-actuated 5-mL bolus dose is allowed every 30 minutes.5 Patients receive continuous drug delivery until postoperative day 2 or beyond, and this challenges the interdisciplinary team to maintain continuous delivery over the course of hospitalization." @default.
- W2331781027 created "2016-06-24" @default.
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- W2331781027 date "2013-04-15" @default.
- W2331781027 modified "2023-09-26" @default.
- W2331781027 title "Estimating depletion time for elastomeric pumps during pharmacist rounds" @default.
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- W2331781027 doi "https://doi.org/10.2146/ajhp120544" @default.
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