AB086. SOH23ABS_069. The effects of multimodal analgesia on the incidence of rebound pain following regional anaesthesia in operative ankle or wrist fixation

Abstract

Background: Rebound pain (RP) following resolution of regional anaesthesia (RA) is reported in up to 40% of patients postoperatively and represents a significant challenge to patient care. Current evidence hypothesises that this acute incidence of pain is secondary to inadequate systemic analgesia at the time of sensory block resolution and is linked with increased opioid consumption among patients. Therefore, this study investigated the combined effect of RA with regular non-opioid analgesics and had the following aims: (I) determine the current incidence of RP following wrist or ankle fixation under RA; and (II) examine the effects of regular vs. as required non-opioid based analgesics on the incidence of RP following RA.