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October 16, 2018
10/16/2018 8:00:00 AM - 10/16/2018 10:00:00 AM
Room North, Hall D, Area B
Retrospective Review of Patient Satisfaction with Peripheral Nerve Blocks
Sanjay M. Bhananker, M.D., Vasu Dhulipala, M.D., Upinder Sidhu, No Degree, Ramesh Ramaiah, M.D.
University of Washington, Seattle, Washington, United States
Disclosures: S.M. Bhananker: None. V. Dhulipala: None. U. Sidhu: None. R. Ramaiah: None.
BACKGROUND/ PURPOSE: Harborview Medical Center performed 3230 regional blocks (upper and lower extremities) as primary anesthetic or for postoperative analgesia for outpatient surgical procedures in the period 2016-17. We reviewed existing patient data on patient satisfaction and postoperative pain management when regional blocks were used for outpatient extremity surgical procedures. METHODS: Ambulatory surgery nurses follow up patients the day after their procedure via phone call. A six question regional block questionnaire is presented to the patient ; responses are recorded and entered into the Hospital’s Patient Call Manager database (PCM). The data stored in PCM was extracted and reviewed for the period January1, 2016 to December 31, 2017. Primary outcome was to assess patient satisfaction, time of block wearing off and willingness to receive a block again. RESULTS: One hundred and fifty four responses were reviewed and analyzed. Fifty four percent of patients reported being “very satisfied" while 5% of patients reported being “somewhat dissatisfied” with their postoperative pain relief. About two thirds of patients indicated that they would choose to have a nerve block if they were to have the same procedure again. About three fourth of patients had started taking prescribed medications by post operative day one. Ninety-one patients had no sensory or motor impairment at the time of telephone call. Eighty seven patients were very satisfied with overall recovery from surgery. Table 1 sows detailed results of the questionnaire.Table 1 font size="3">

DISCUSSION: Considering the large volume of regional blocks which are performed at our hospital, postoperative follow up data related to regional block were available for only about 5 % of patients. This likely has multifactorial causes, including patient demographics, language barriers for phone calls, and lack of tagging patient charts who had a regional anesthetic. We have proposed measures to increase the capture rate for regional anesthesia related questions, including a unique color coded sticker in the patient chart to remind the nurses to ask the specific questions and a request for an additional nurse dedicated to regional anesthesia team. A follow up data extraction from PCM is planned at the end of 2018. Of the patients whose responses were recorded, patient satisfaction with regional block was high. CONCLUSION: The available data showed satisfaction with regional block anesthetic for outpatient surgical procedures. We are taking steps to increase the capture rate for regional block related follow up and we will review the data each year.

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