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Anesthesia and analgesia · Apr 1997
Patient and surgeon satisfaction with extremity blockade for surgery in remote locations.
- J H Waters, D Leivers, D Maher, T Scanlon, and G M DeGuzman.
- Department of Anesthesiology, Naval Medical Center, San Diego, California 92134-5000, USA.
- Anesth. Analg. 1997 Apr 1; 84 (4): 773-6.
AbstractIn a practice that may be unique to military health care, extremity nerve blocks are established by anesthesiologists before transporting the patient to a remote clinic for surgery without further monitoring by anesthesia personnel. The safety and acceptance of this practice was assessed through a prospective survey of the surgeons and their patients. Six hundred seventy-seven blocks were performed in a 1-yr period with no adverse events related to this practice. Completed surveys were received from 406 (60%) of the surgeons and 232 (34%) of the patients. Of the blocks performed, 638 (94%) were brachial plexus blocks, with axillary blocks accounting for 87% of the brachial plexus blocks. Of the responding patients, 78% stated that they would be willing to undergo a repeat block. The surgeons were satisfied with the operating conditions in 96% of the cases. This study supports the safety and efficacy of this practice.
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