VECU DES PATIENTS LORS DE LA REALISATION DES BLOCS NERVEUX PERIPHERIQUES PATIENTS EXPERIENCE DURING ULTRASOUND-GUIDED NERVE BLOCK.

- Universit? d?Antananarivo, Madagascar.
- Universit? de Bordeaux, France.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Background: Nowadays, ultrasound-guided peripheral nerve blocks are recommended for peripheral surgeries allowing to increase efficiency and patient comfort. The aim of the study was to assess patient experience during the implementation of ultrasound-guided peripheral nerves blocks. Methods: A cohort study was conducted during seven months, from February to August 2015, in anesthesia department of P?rigueux?s hospital (France). The patient?s experience was assessed, especially pain and satisfaction. Correlation test was used for the statistic analysis. Results: For the study, 87 patients, 53 [18-87] yo, mostly women were included. Pain (with a median of 2 [0-4]) was high in 18.3% of cases. Other sensations like dysesthesia and pressure have been described. The satisfaction rate was high (88.5%), with a median of 9 [2-10]. Sedation has significantly decreased the pain intensity during the procedure. No determinant of satisfaction was found. However, practicians in the operating room and during the pre-anesthetic consultation appear to be a predictor of a subsequent block wish. Conclusion: These results allow us to conclude that a good support from the first contact of the practician with the patient improves patient experience. The interest of a pain killer before the completion of a peripheral nerve block could be inconstant.
- Abrahams MS, et al. (2009). Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and metanalysis of randomized controlled trials. Br. J. Anaesth. ; 102(3) : 408-417.
- Bierstein (1996). Consumer? satisfaction surveys? in? anesthesiology? practice.? ASA? Newsletter?; 60 : 26-91.
- Bondar A, et al. (2011). Peripheral nerve blockade. Res. Pract.?; 2011:973239
- Bonnet F. (2006). Quels sont les crit?res de satisfaction des patients apr?s une anesth?sie?? Fr. Anesth. R?anim.?; 25(7)?: 681-682.
- Bouaziz H, et al. (2011). ?chographie en anesth?sie locor?gionale. Recommandations formalis?es d?experts. Fr. Anesth. R?anim.?; 30(9)?: e33-e35.
- Colin C. (2003). Les blocs p?riph?riques des membres chez l?adulte. Fr. Anesth. R?anim.?; 22(6)?: 567-581.
- Eisenberg E, et al. (2014). Echographie en anesth?sie r?gionale p?riph?rique, m?dullaire et p?rim?dullaire. Paris : Arnette.
- Fourcade O, et al. (2014). Trait? d?anesth?sie et de r?animation. 4? ?dition. Paris?: Lavoisier.
- Hadzic A, et al. (2004). Combination of intraneural injection and high injection pressure leads to fascicular injury and neurologic deficits in dog. Reg. Anesth. Pain Med.?; 29(5) : 417-423.
- Kinirons BP, et al. (2000). Sedation with sufentanil and midazolam decreases pain in patients undergoing upper limb surgery under multiple nerve block. Anesth. Analg. ; 90(5)?: 1118?1121.
- Montenegro A, et al. (2006). ?valuation de la satisfaction des patients ayant b?n?fici? d?une anesth?sie locor?gionale par bloc nerveux p?riph?rique : ?tude bicentrique sur 314 cas. Fr. Anesth. Reanim.?; 25(7)?: 687-695.
- Pernoud N, et al. (1999). Echelle? de? v?cu? p?riop?ratoire? de? l?anesth?sie. II? -? R?sultats? pr?liminaires. Ann? Fr? Anesth? R?anim ;? 18(8) :? 858-865.
- Rem?rand F, et al. (2012). Tol?rance et efficacit? des blocs nerveux p?riph?riques pour la chirurgie du canal carpien. ? Fr.? Anesth.? R?anim.?; 31(1)?: 34-40.
- Samson D, et al. (2007). Eutectic mixture of local anesthetic (Emla) decreases pain during humeral block placement in non-sedated patients. Anesth. Analg. ; 105(2)?: 512?515.
- Sauder P et al. (2008). S?dation et analg?sie en r?animation (nouveau-n? exclu). Fr. Anesth. R?anim.?; 27(7)?: 552-555.
- Schug SA, et al. (2001). Patient satisfaction?: politically correct fashion of nineties or a valuable mesure of outcome?? Reg. Anesth. Pain Med.; 26(3)?: 193-195.
- Sites BD, Gallagher J, Sparks M. (2003). Ultrasound-guided popliteal block demonstrates an atypical motor response to nerve stimulation in 2 patients with diabetes mellitus. Reg. Anesth. Pain Med. ; 28(5) : 479-482.
- Tong D, Chung F, Wong D. (1997). Predictive factors in global and anesthesia satisfaction in ambulatory surgical patients. Anesthesiology; 87(4): 856-864.
[*Razafindrabekoto Lova1, Rakotondrainibe Aurelia1, Rafanomezantsoa Toky1, Mary Anne2, Oger Sebastian2, Nieuviarts Romain2 and Sztark Francois2. (2018); VECU DES PATIENTS LORS DE LA REALISATION DES BLOCS NERVEUX PERIPHERIQUES PATIENTS EXPERIENCE DURING ULTRASOUND-GUIDED NERVE BLOCK. Int. J. of Adv. Res. 6 (Jan). 1172-1179] (ISSN 2320-5407). www.journalijar.com
Faculté de Médecine d\'Antananarivo