Outpatient Surgery Magazine

Special Edition: Opioids - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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block (PNB). Oddly enough, that's not the case. A September 2017 study in Anesthesia & Analgesia (osmag.net/J5xoGN) that examined the use of regional anesthesia for outpatient sur- gery procedures found that regional anesthesia was used sparingly: • Frequency was only 3.3% of the 3.3 million possible cases that were amenable to a PNB. • PNB frequency of the brachial plexus (6.1%), sci- atic nerve (1.5%) and femoral nerve (1.9%) was similarly low. • The procedures in which PNBs were most frequently used were shoul- der arthroscopies (41%) and anterior cruciate ligament reconstruction (32%). Countless patients are missing out on targeted pain relief that can reduce opioid use, shorten stays in recovery and lower readmission rates. We talked to leading experts in regional anesthesia to find out how they're tak- ing advantage of blocks. Local assistance Regional blocks are typically placed with the assistance of ultrasound guidance, which offers anesthesia providers great image quality and granu- 2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 2 0 • SHOULDER ON Interscalene blocks keep patients comfortable during the critical first days of recovery, when pain is at its highest. Pamela Bevelhymer, RN, BSN, CNOR

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