Document Detail

Transition from nerve stimulator to sonographically guided axillary brachial plexus anesthesia in hand surgery: block quality and patient satisfaction during the transition period.
MedLine Citation:
PMID:  23620319     Owner:  NLM     Status:  In-Data-Review    
Objectives- Sonographic guidance for peripheral nerve anesthesia has proven increasingly successful in clinical practice; however, fears that a change to sonographically guided regional anesthesia may impair the block quality and operating room work flow persist in certain units. In this retrospective cohort study, block quality and patient satisfaction during the transition period from nerve stimulator to sonographic guidance for axillary brachial plexus anesthesia in a tertiary referral center were investigated. Methods- Anesthesia records of all patients who had elective surgery of the wrist or hand during the transition time (September 1, 2006-August 25, 2007) were reviewed for block success, placement time, anesthesiologist training level, local anesthetic volume, and requirement of additional analgesics. Postoperative records were reviewed, and patient satisfaction was assessed by telephone interviews in matched subgroups. Results- Of 415 blocks, 341 were sonographically guided, and 74 were nerve stimulator guided. Sonographically guided blocks were mostly performed by novices, whereas nerve stimulator-guided blocks were performed by advanced users (72.3% versus 14%; P < .001). Block performance times and success rates were similar in both groups. In sonographically guided blocks, significantly less local anesthetics were applied compared to nerve stimulator-guided blocks (mean ± SD, 36.1 ± 7.1 versus 43.9 ± 6.1 mL; P< .001), and less opioids were required (fentanyl, 66.1 ± 30 versus 90 ± 62 μg; P< .001). Interviewed patients reported significantly less procedure-related discomfort, pain, and prolonged procedure time when block placement was sonographically guided (2% versus 20%; P = .002). Conclusions- Transition from nerve stimulator to sonographic guidance for axillary brachial plexus blocks did not change block performance times or success rates. Patient satisfaction was improved even during the early institutional transition period.
Cédric Luyet; Mihai Constantinescu; Manuel Waltenspül; Martin Luginbühl; Esther Vögelin
Related Documents :
25102999 - Total mesorectal excision: open, laparoscopic or robotic.
23936719 - Chronic constipation in the elderly: an unusual presentation of colonic dysmotility in ...
23786779 - Managing bleeding in anticoagulated patients in the emergency care setting.
23560659 - Efficacy of laparoscopic gastric mobilization for esophagectomy: comparison with open t...
10579659 - Effects of acute injury characteristics on neuropsychological status and vocational out...
24173869 - The invisible frown plasty.
3573179 - Antireflux ureteroileal reimplantation: an alternative for urinary diversion.
24822539 - Evolution and development of operative arthroscopy 1974 to present.
23887559 - A comprehensive five-step surgical management approach to penetrating liver injuries th...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  32     ISSN:  1550-9613     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  779-86     Citation Subset:  IM    
Prof, Department of Plastic and Hand Surgery, University of Bern, Inselspital, Freiburgstrasse, CH-3010 Bern, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Sonographically guided patellar tendon fenestration: prognostic value of preprocedure sonographic fi...
Next Document:  A microbubble contrast agent improves prediction of ablated areas during radiofrequency ablation: a ...