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Is this going to hurt?

They come in the front door of the surgery suite, they have surgery with some kind of anesthetic, they go to the PACU alive and breathing, they're discharged from PACU and... disappear from the face of the earth. Unless something goes majorly wrong.

So how did that nerve block work? Up til now you mostly only know about the things that went wrong. But now there's an ongoing study of femoral and sciatic blocks that can give you feedback on what went right (and wrong).

Already there appear to be some surprises. Length of time for blocks to set up. How long they last.  Difference between concentrations of local anesthetics and the effect of presence or absence of epinephrine in the local.

As more data is collected more may become clear about what you are doing and how it can be improved if, at all.


Total Knee Block Study Data Collection Complete?


At this point it no more data is being collected for the Total Knee Block Study.  Almost 90 cases of femoral and femoral/sciatic block for TKR have been collected and entered into the database. 

Physical Therapy “seems” satisfied with overall block length for the majority of blocks.

New protocols have been started for total joints involving early ambulation (evening of surgery) and while the nerve blocks are not expected to be worn off for this first vertical foray, this doesn’t seem to be a concern for orthopods interviewed.

The issue of blocks lasting for extended periods appears to be, at least in part, addressed by elimination of epinephrine from the local anesthetic.


Reports from the Collected Data.

The Boxes below link to several reports and listings based on the information collected so far.

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