The Nashville Surgery Center offers continuous peripheral nerve blocks for ambulatory surgery. Using small pain catheters inserted along side peripheral nerves, patients can have relatively major surgery (for example, total shoulder replacements) performed on an outpatient basis with minimal postoperative pain. Previously, patients required hospitalization for these procedures to manage pain effectively. However, with the use of multimodal analgesia, including local anesthetics for 2-4 days, as well as short-acting oral narcotics for breakthrough pain, patients can have safe, effective postoperative pain management at home.
This program decreases surgery cost, increases hospital bed availability for other patients, increases patient satisfaction, and minimizes narcotic-related side effects such as nausea, vomiting, sedation, and constipation.