Regional Anesthesia Block in Fibula Free Flap Reconstruction

Exclusion Criteria

• •Subjects needing elevation of care to the intensive care unit due to remaining intubated for extended period of time or other complications during the peri or post operative period
• •Subjects with surgical complications requiring significant alteration of the treatment plan
• •o Subjects requiring a return to the operating room during admission will be excluded, unless it is for a procedure not related to the original surgery occurring after post op day 3, such as a gastrostomy tube or long term IV access.
• •Subjects with true allergies to the study drugs
• •Subjects undergoing reconstruction with more than 1 free flap, or with the use of any additional regional flaps
• •History of substance dependence or enrollment in a pain management program
• •Any subject currently enrolled in pain management, or currently taking long acting opioids such as methadone or oxycontin.
• •Subjects who do not stay in the hospital for at least 4 days post operatively
• •Subjects requiring anticoagulation will not require modifications prior to receiving regional anesthesia.
• •Inability to properly place catheter or administer the regional anesthesia