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British Journal of Anaesthesia, 1995, Vol. 74, No. 4 469-471
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

Prolonged postoperative analgesia for arthrolysis of the elbow joint

R. K. PARIKH, FRCA, L. R. RYMASZEWSKI, MSC, FRCS (ENG, EDIN) and N. B. SCOTT, FRCS(EDIN), FRCA

Department of Orthopaedics); Stobhill NHS Trust Hospital Glasgow G21 3UW
University Department of Anaesthesia Royal Infirmary, 8-16 Alexandra Parade, Glasgow

We describe the provision of postoperative an algesia for 6 days for a patient undergoing arthrolysis of the elbow joint. Mobilization of the elbow immediately after operation is essential to maintain movement achieved with surgery and this can be obtained only with effective pain relief. We used continuous infusion of 0.125% bupivacaine and subsequent addition of fentanyl to the infusate, via a catheter inserted supraclavicularly into the sheath of the brachial plexus.


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