Abstract
We compared outcomes between patients receiving general anesthesia (GA) vs regional block (RB) in a military same-day surgery unit (SDSU), where Certified Registered Nurse Anesthetists (CRNAs) delivered all RBs and GA. All patient charts from 2003 through 2006 were reviewed. Patients were included if they were 18 years or older, had an ASA physical status I or II, and underwent a shoulder or knee arthroscopy that used either RB or GA. Overall, 342 patients met inclusion criteria: 161 GA and 181 RB. With GA, mean anesthesia time was shorter (109.6 vs 135.5 minutes, P < .001), but recovery times were longer (56.7 vs 36.4 minutes, P < .001). SDSU times were nearly identical (GA vs RB, 71.5 vs 72.8 minutes), resulting in a total hospital time that was not significantly different (352.7 vs 347.5). The GA group received more morphine equivalents of narcotic in the operating room (22.9 vs 15.1 mg, P < .001) yet still had higher pain scores postoperatively than the RB group (1.1 vs 0.3, P < .001). The GA group received a significantly greater number of antiemetic doses intraoperatively (0.58 vs 0.04, P < .001) but still had a higher, although nonsignificant, rate of emesis (15.5% vs 10.0%). Patients receiving RB had less pain and received less analgesia without any increase in postoperative nausea and vomiting, hospital time, or anesthesia-related complications.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 215-220 |
| Number of pages | 6 |
| Journal | AANA Journal |
| Volume | 78 |
| Issue number | 3 |
| State | Published - Jun 1 2010 |
| Externally published | Yes |
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Keywords
- Nausea and vomiting
- Pain
- Regional blocks
ASJC Scopus subject areas
- Medicine(all)
Cite this
Patient outcomes comparing CRNA-administered peripheral nerve blocks and general anesthetics : A retrospective chart review in a US army same-day surgery center. / Yauger, Young J.; Bryngelson, Jay A.; Donohue, Kaori; Lawhorn, Lori A.; Pitcher, Brian M.; Schoneboom, Bruce; Watts, Dorraine D.
In: AANA Journal, Vol. 78, No. 3, 01.06.2010, p. 215-220.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Patient outcomes comparing CRNA-administered peripheral nerve blocks and general anesthetics
T2 - A retrospective chart review in a US army same-day surgery center
AU - Yauger, Young J.
AU - Bryngelson, Jay A.
AU - Donohue, Kaori
AU - Lawhorn, Lori A.
AU - Pitcher, Brian M.
AU - Schoneboom, Bruce
AU - Watts, Dorraine D.
PY - 2010/6/1
Y1 - 2010/6/1
N2 - We compared outcomes between patients receiving general anesthesia (GA) vs regional block (RB) in a military same-day surgery unit (SDSU), where Certified Registered Nurse Anesthetists (CRNAs) delivered all RBs and GA. All patient charts from 2003 through 2006 were reviewed. Patients were included if they were 18 years or older, had an ASA physical status I or II, and underwent a shoulder or knee arthroscopy that used either RB or GA. Overall, 342 patients met inclusion criteria: 161 GA and 181 RB. With GA, mean anesthesia time was shorter (109.6 vs 135.5 minutes, P < .001), but recovery times were longer (56.7 vs 36.4 minutes, P < .001). SDSU times were nearly identical (GA vs RB, 71.5 vs 72.8 minutes), resulting in a total hospital time that was not significantly different (352.7 vs 347.5). The GA group received more morphine equivalents of narcotic in the operating room (22.9 vs 15.1 mg, P < .001) yet still had higher pain scores postoperatively than the RB group (1.1 vs 0.3, P < .001). The GA group received a significantly greater number of antiemetic doses intraoperatively (0.58 vs 0.04, P < .001) but still had a higher, although nonsignificant, rate of emesis (15.5% vs 10.0%). Patients receiving RB had less pain and received less analgesia without any increase in postoperative nausea and vomiting, hospital time, or anesthesia-related complications.
AB - We compared outcomes between patients receiving general anesthesia (GA) vs regional block (RB) in a military same-day surgery unit (SDSU), where Certified Registered Nurse Anesthetists (CRNAs) delivered all RBs and GA. All patient charts from 2003 through 2006 were reviewed. Patients were included if they were 18 years or older, had an ASA physical status I or II, and underwent a shoulder or knee arthroscopy that used either RB or GA. Overall, 342 patients met inclusion criteria: 161 GA and 181 RB. With GA, mean anesthesia time was shorter (109.6 vs 135.5 minutes, P < .001), but recovery times were longer (56.7 vs 36.4 minutes, P < .001). SDSU times were nearly identical (GA vs RB, 71.5 vs 72.8 minutes), resulting in a total hospital time that was not significantly different (352.7 vs 347.5). The GA group received more morphine equivalents of narcotic in the operating room (22.9 vs 15.1 mg, P < .001) yet still had higher pain scores postoperatively than the RB group (1.1 vs 0.3, P < .001). The GA group received a significantly greater number of antiemetic doses intraoperatively (0.58 vs 0.04, P < .001) but still had a higher, although nonsignificant, rate of emesis (15.5% vs 10.0%). Patients receiving RB had less pain and received less analgesia without any increase in postoperative nausea and vomiting, hospital time, or anesthesia-related complications.
KW - Nausea and vomiting
KW - Pain
KW - Regional blocks
UR - http://www.scopus.com/inward/record.url?scp=77953305906&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77953305906&partnerID=8YFLogxK
M3 - Article
C2 - 20572408
AN - SCOPUS:77953305906
VL - 78
SP - 215
EP - 220
JO - AANA Journal
JF - AANA Journal
SN - 0094-6354
IS - 3
ER -