Abstract | BACKGROUND: METHODS: This was a prospective cohort quality improvement study evaluating the use of earlier and more consistent regional anesthesia procedures in 28 consecutive trauma patients at a large Canadian trauma center. In this quasi-experimental before and after study, we identified all trauma patients with an ISS < 15 that would have been candidates for a peripheral nerve block and compared them to the study population that received a regional anesthesia nerve block within 24 h of admission. RESULTS: The introduction of a multidisciplinary pain program into our level 1 regional trauma center resulted in a decrease in pain severity and opioid consumption of 55% and 61%, respectively, after 24 h of admission. Length of stay in the emergency department decreased (11.5 ± 6.9 vs. 4.9 ± 4.4 h; p < 0.01) while hospital length of stay did not (338 ± 276 vs. 285 ± 205 h; p = 0.4). CONCLUSION: This quality improvement proof-of-principle study reveals the potential advantages for regional anesthesia, such as decreased emergency department use, opioid consumption, and pain severity. Further randomized trials are necessary, however, to describe a direct benefit from peripheral nerve blockade on reducing length of stay for trauma patients.
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Authors | Ryan Perlman, Sam Bonge |
Journal | European journal of trauma and emergency surgery : official publication of the European Trauma Society
(Eur J Trauma Emerg Surg)
Vol. 49
Issue 1
Pg. 495-504
(Feb 2023)
ISSN: 1863-9941 [Electronic] Germany |
PMID | 36057887
(Publication Type: Journal Article)
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Copyright | © 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany. |
Chemical References |
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Topics |
- Humans
- Analgesics, Opioid
(therapeutic use)
- Nerve Block
(adverse effects)
- Prospective Studies
- Quality Improvement
- Canada
- Anesthesia, Conduction
- Pain
(drug therapy)
- Pain, Postoperative
(etiology)
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