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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > January, 2009 Vol. X, No. 1

Dispelling 8 Peripheral Nerve Block Myths

This article's for you if you're still hesitant to initiate a comprehensive nerve block program.

Brian Williams; and Steven Orebaugh, MD

Few would argue that peripheral nerve blocks are an excellent service to patients, yet the myths about PNBs persist. They delay start times and prolong turnover times. They don't last long enough in the OR and last too long in recovery. They're difficult to administer, and good luck getting paid for them. We're here to dispel those and other myths that could keep you from enjoying such benefits as superior pain relief and satisfied surgeons.

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Categories: Anesthesia
Keywords:
Myth 1. Most patients don't need regional blocks because pain from ambulatory procedures is only mild.; Myth 2. Peripheral blocks don't last long enough to provide meaningful relief from painful surgery.; Myth 3. Patients will be uncomfortable and awake during nerve blockade. ; Myth 4. PNBs prolong turnover time and prolong PACU time due to ongoing numbness and weakness.; Myth 5. Lower-extremity PNBs prevent safe ambulation at home.; Myth 6. Site-specific infusions are as effective as PNBs.; Myth 7. Regional anesthesia is not cost-efficient.; Myth 8. You cannot get reimbursed for nerve blocks,... show all keywords
Myth 1. Most patients don't need regional blocks because pain from ambulatory procedures is only mild.; Myth 2. Peripheral blocks don't last long enough to provide meaningful relief from painful surgery.; Myth 3. Patients will be uncomfortable and awake during nerve blockade. ; Myth 4. PNBs prolong turnover time and prolong PACU time due to ongoing numbness and weakness.; Myth 5. Lower-extremity PNBs prevent safe ambulation at home.; Myth 6. Site-specific infusions are as effective as PNBs.; Myth 7. Regional anesthesia is not cost-efficient.; Myth 8. You cannot get reimbursed for nerve blocks, nor for ultrasound use with nerve blocks.; Overcoming hidden barriers; ASC; Adjuncts; Anesthesiology; Dr. Williams; Economics; Health; IV; Injecting; Institutes; Local; Lower-extremity PNBs; Magazine; March; Myth; National Institutes; Outpatient Surgery Magazine; PACU; PNBs; PNBs. Not; Patients; Peripheral; Regional; Safe; Site-specific; States; Surgery Magazine; United States; University; Williams; abdominal; ability; absence; absolutely; access; accessories; accidental; achieve; active; add; added; adjust; adjuvants; administered; advances; affected; agents; airway; allowing; ambulation; ambulatory; analgesic; analgesic-antihyperalgesic; anesthesia; anesthetic; anesthetics; anesthetize; anterior; anti-emetic; antisepsis; applied; argue; armed; attest; autografts; avoid; awake; basic; basis; benefits; bill; billing; block; blocks; buprenorphine; called; capture; care; carried; case; catheter-related; change; cheerfully; clonidine; close; closing; coding; combinations; comfortable; commonly; compared; complexity; conducted; consideration; considered; contact; content; continuous; contribute; control; cost; criterion; current; damage; day; deeper; degrees; delay; delicate; denying; depending; dermatomes; desflurane; detail; devices; dexamethasone; dextrose; difficult; diluted; discharge; discharging; discovered; dispel; documentation; documents; dose; double-bundle; drug; due; duration; effect; effective; efforts; eligible; eliminate; employ; enjoying; entering; epinephrine; equi-analgesic; equipment; examine; excellent; expectations; extend; extremity; eyes; facilities; facility; factors; falsely; familiar; faster; feel; fees; femoral; finding; follow; frequency; general; generally; give; good; grant; groggy; group; hidden; high-fidelity; high-tibial; home; hope; hospital; hourly; hours; hyperbaric; ignore; image; immediately; implies; important; improve; incision; include; including; induce; induction; information; infusion; injectate; injections; inpatient; insert; institution; instructions; interact; interscalene; intravenous; invasive; involved; involves; ipsilateral; issue; joint; journal; judiciously; key; knee; large; larger; laryngeal; levobupivacaine; light; literature; local; long; long-acting; luck; machine; made; maintain; maintaining; make; malfunction; masks; meaningful; meaningfully; medications; middle-of-the-night; million; mind; minutes; motor; moving; multimodal; myths; nausea; needed; needle; nerve; nerves; night's; non-weight-bearing; numbness; occurs; off-patent; offset; ondansetron; one-sided; ongoing; opioid; orthopedic; osteotomy; outlay; outpatient; overtly; page; paid; pain; pain-induced; painful; paresthesia; part; participant; past; patient; perform; performing; perineural; peripheral; perphenazine; personnel; phenomenon; physician; placement; plain; plan; plexus; point; policies; position; positioning; post-op; potentially; prevent; primarily; private; problem; procaine; procedure; procedures; progression; prolong; prolonging; promise; prophylaxis; propofol-ketamine; provide; published; range; ready; reasons; receiving; recent; recognize; reconstruction; recover; recovery; reductions; region; regional; reimbursed; related; reliable; relief; relieve; remember; require; research; respond; retention; revenues; room; ropivacaine; routinely; safe; safety; salaried; same-day; satisfied; save; saving; sciatic; scientific; screen; secure; sedate; sedation; sedative; sensation; sense; separate; service; sevoflurane; short; short-duration; shorter-duration; shown; significant; single-injection; single-shot; site; situations; skin; sleep; slightly; somnolence; spinal; staff; start; stressful; strict; structures; studies; subcutaneous; subsidies; substantial; suffer; suggests; superficial; superior; surgeries; surgery; surgical; surprisingly; technical; technique; terribly; territories; territory; things; thought; time; times; total; treatment; true; turnover; type; ultrasound; ultrasound-guided; uncomfortable; unicompartmental; unwanted; urinary; verbal; volatile; volume; wakes; well-controlled; well-recovered; year; years

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