| Patient outcomes comparing CRNA-administered peripheral nerve blocks and general anesthetics: a retrospective chart review in a US Army same-day surgery center. | |
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MedLine Citation:
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PMID: 20572408 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We compared outcomes between patients receiving general anesthesia (GA) vs regional block (RB) in a military same-day surgery unit (SDSU), where Certified Registered Nurse Anesthetists (CRNAs) delivered all RBs and GA. All patient charts from 2003 through 2006 were reviewed. Patients were included if they were 18 years or older, had an ASA physical status I or II, and underwent a shoulder or knee arthroscopy that used either RB or GA. Overall, 342 patients met inclusion criteria: 161 GA and 181 RB. With GA, mean anesthesia time was shorter (109.6 vs 135.5 minutes, P < .001), but recovery times were longer (56.7 vs 36.4 minutes, P < .001). SDSU times were nearly identical (GA vs RB, 71.5 vs 72.8 minutes), resulting in a total hospital time that was not significantly different (352.7 vs 347.5). The GA group received more morphine equivalents of narcotic in the operating room (22.9 vs 15.1 mg, P < .001) yet still had higher pain scores postoperatively than the RB group (1.1 vs 0.3, P < .001). The GA group received a significantly greater number of antiemetic doses intraoperatively (0.58 vs 0.04, P < .001) but still had a higher, although nonsignificant, rate of emesis (15.5% vs 10.0%). Patients receiving RB had less pain and received less analgesia without any increase in postoperative nausea and vomiting, hospital time, or anesthesia-related complications. |
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Authors:
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Young J Yauger; Jay A Bryngelson; Kaon Donohue; Lori A Lawhorn; Brian M Pitcher; Bruce A Schoneboom; Dorraine D Watts |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: AANA journal Volume: 78 ISSN: 0094-6354 ISO Abbreviation: AANA J Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-24 Completed Date: 2010-07-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0431420 Medline TA: AANA J Country: United States |
Other Details:
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Languages: eng Pagination: 215-20 Citation Subset: N |
Affiliation:
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Walter Reed Army Medical Center, Washington, DC, USA. jyauger1@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Surgical Procedures
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adverse effects Anesthesia Recovery Period Anesthesia, General* / methods, nursing Clinical Nursing Research Hospitals, Military Humans Incidence Length of Stay / statistics & numerical data Logistic Models Maryland / epidemiology Nerve Block* / methods, nursing Nurse Anesthetists / organization & administration* Outcome Assessment (Health Care) Pain, Postoperative / epidemiology, etiology, prevention & control Peripheral Nerves Postoperative Nausea and Vomiting / epidemiology, etiology, prevention & control Retrospective Studies Severity of Illness Index Statistics, Nonparametric Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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