50th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

Preoperative Nerve Blocks Improve First Case On-Time Starts: A One-Year Retrospective Review Comparing First Case Scheduled with Regional versus Non-Regional Anesthesia

Authors: Kelsey Kukuruza1, Ophelie Constant1, Kamonchanok Tengwongderm1,Jean-Louis Horn1

1Stanford Medicine, Department of Anesthesiology, Perioperative and Pain Medicine

Intro

•Regional Anesthesia (RA) has many benefits: reduced opioid consumption, increased patient satisfaction, improved recovery times

•Concern of RA delaying FCOTS might impact eligible patients from receiving blocks

•This study compared first case delays between patients that had a preoperative RA to those without RA.

Methods

•Monocentric retrospective EMR review from December 1, 2021- December 1, 2022

•Inclusion of all patients receiving single shot or catheter placement in preoperative area by RA team scheduled for first case starts

•Utilizing EMR, each surgical record was manually reviewed for documented delays, preoperative nursing and RA completion time, and 'patient in-room' time

Results

•5,829 patients included in both RA and non-RA groups (910 vs 4,919 respectively)

•58% of documented FCOTS delays in RA group. 22% of delays were attributed to the RA procedure. Of these delays, only 14% were accurately documented from RA.

•Non-RA group had 53% of documented FCOTS delays. However, there were 71% FCOTS delays based on OR-times.

•Average OR in-room time was earlier for RA group that non-RA group

•RA mean 'patient in-room' time was 08:19 (SD +/—11 minutes) and 07:23 (SD +/—15 minutes) on Mondays and Tuesdays—Fridays, respectively.

•Non-RA group mean 'patient in-room' was 08:22 (SD +/-20 minutes) and 07:25 (SD +/-21 minutes) on Mondays and Tuesdays—Fridays, respectively.

50th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

PREOPERATIVE NERVE BLOCKS IMPROVE FIRST CASE ON-TIME STARTS: A ONE-YEAR RETROSPECTIVE REVIEW

Poster Presenter

Authors

Affiliations

Part of Topic