Subscribe to RSS
DOI: 10.1055/s-0040-1709244
Patient and Surgeon Reported Experiences of Locoregional Anesthesia in Hand Surgery
Funding None.![](https://www.thieme-connect.de/media/10.1055-s-00031417/202201/lookinside/thumbnails/10_1055_s-0040-1709244_19-1.jpg)
Abstract
Introduction Locoregional anesthesia techniques have been increasingly adopted for use in hand surgery in recent years. However, locoregional anesthesia techniques may place patients under significant psychological stress, and there has been limited evaluation of acceptance and satisfaction rates of these techniques.
Materials and Methods An observational study was conducted in a single tertiary institution. Data were collected from patients undergoing upper limb surgery procedures with locoregional anesthesia. After completion of surgery, a questionnaire adapted from Evaluation du Vecu de l’Anesthesie LocoRegionale (EVAN-LR), with scores from 1 to 5 on the Likert scale, was conducted on the same day to evaluate patient satisfaction. Responses were also obtained from the operating surgeon to assess satisfaction.
Results A total of 101 patients were evaluated as part of the study. All EVAN-LR domains received a mean score >4.5. Responses from surgeons also showed good acceptance of locoregional anesthesia techniques with almost all giving scores ≥4 on the Likert scale.
Conclusion The results of this study showed good satisfaction and acceptance of locoregional anesthesia among patients for upper limb procedures. This provides reassurance regarding the quality of care with locoregional anesthesia techniques. It remains important to be aware of potential sources of discomfort such as tourniquet pain to minimize discomfort and maximize patient satisfaction.
Publication History
Article published online:
13 April 2020
© 2020. Society of Indian Hand & Microsurgeons. This article is published by Thieme.
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Lalonde DH. Conceptual origins, current practice, and views of wide awake hand surgery. J Hand Surg Eur Vol 2017; 42 (09) 886-895
- 2 Horn JL, Swide C, Gaebel BA. Cross RL Jr. Comparison of efficiency, recovery profile and perioperative costs of regional anaesthesia vs. general anaesthesia for outpatient upper extremity surgery. Eur J Anaesthesiol 2007; 24 (06) 557-559
- 3 Egol KA, Soojian MG, Walsh M, Katz J, Rosenberg AD, Paksima N. Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia. J Orthop Trauma 2012; 26 (09) 545-549
- 4 Chan VWS, Peng PWH, Kaszas Z. et al. A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery: clinical outcome and cost analysis. Anesth Analg 2001; 93 (05) 1181-1184
- 5 Hustedt JW, Chung A, Bohl DD, Olmschied N, Edwards SG. Comparison of postoperative complications associated with anesthetic choice for surgery of the hand. J Hand Surg Am 2017; 42 (01) 1-8
- 6 Leblanc MR, Lalonde J, Lalonde DH. A detailed cost and efficiency analysis of performing carpal tunnel surgery in the main operating room versus the ambulatory setting in Canada. Hand 2007; 2 (04) 173-178
- 7 Foster BD, Sivasundaram L, Heckmann N. et al. Surgical approach and anesthetic modality for carpal tunnel release: a nationwide database study with health care cost implications. Hand 2017; 12 (02) 162-167
- 8 Sim WP, Ng HJ, Tan S, Bajaj SL, Rajaratnam V. Scope of hand surgery using surgeon administered local/regional anaesthesia. Ann Plast Surg 2019; 83 (03) 278-284
- 9 Courtot L, Ferre F, Reina N. et al. Patient participation during anterior cruciate ligament reconstruction improves comprehension, satisfaction, and functional outcomes: a simple way to improve our practices. Orthop J Sports Med 2019; 7 (04) 2325967119841089
- 10 Hu P, Harmon D, Frizelle H. Patient comfort during regional anesthesia. J Clin Anesth 2007; 19 (01) 67-74
- 11 Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med 2001; 26 (03) 196-208
- 12 Maurice-Szamburski A, Bruder N, Loundou A, Capdevila X, Auquier P. Development and validation of a perioperative satisfaction questionnaire in regional anesthesia. Anesthesiology 2013; 118 (01) 78-87
- 13 Omeroğlu H, Uçaner A, Tabak AY, Güney O, Biçimoğlu A, Günel U. The effect of using a tourniquet on the intensity of postoperative pain in forearm fractures. A randomized study in 32 surgically treated patients. Int Orthop 1998; 22 (06) 369-373
- 14 Huang YC, Chen CY, Lin KC, Yang SW, Tarng YW, Chang WN. Comparison of wide-awake local anesthesia no tourniquet with general anesthesia with tourniquet for volar plating of distal radius fracture. Orthopedics 2019; 42 (01) e93-e98
- 15 Macachor JD, Kumar CM, Seet E, Tan LZ. Peripheral nerve blocks in a regional anesthesia block area: an economic model. Reg Anesth Pain Med 2018; 43 (04) 448-449
- 16 Van Zundert AA, Gatt SP, Kumar CM, Van Zundert TCRV. Vision-guided placement of supraglottic airway device prevents airway obstruction: a prospective audit. Br J Anaesth 2017; 118 (03) 462-463
- 17 Van Zundert AA, Kumar CM, Van Zundert TC. Malpositioning of supraglottic airway devices: preventive and corrective strategies. Br J Anaesth 2016; 116 (05) 579-582