Peripheral Nerve Blocks: Understanding the Nurse’s Role

McCamant, Karen L

doi:10.1016/j.jopan.2005.11.006

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…Per Hunter et al, nurses should be knowledgeable about and confident in their ability to work effectively with clinicians in the management of patients having PNB (15). Additionally, McCamant highlighted the involvement of nursing in PNB (16). In the current study, there was a significant increase in the percentage of participants who said they had heard the term PNB, rising from 50.5% to 76.4%.…”

Section: Discussionmentioning

confidence: 54%

Healthcare Professional Knowledge on Pain Definition and Management, Pre-test and Post-test Results of Short Courses

Bakir,

Rumeli,

Ozel

2023

JARSS

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Objective: Most medical professionals pick up pain management skills on the job and are frequently unprepared to work as a team in the real world. This study aims to assess the knowledge of pain management among allied health professionals and their postgraduation training requirements in pain management. Methods: A prospective survey/scale study was conducted between April 1, 2021, and June 15, 2021. A total of 578 allied health professionals, including nurses, midwives, health officers, and anaesthetic technicians who work in all wards of our university hospital, were enrolled with the ethics committee's approval. Results:Participants were asked about basic pain definitions. Following education, there was a significant increase in the correct assessment of visual analog scale (VAS) (p<0.001) and neuropathic pain definitions (p<0.001). Participants' knowledge of opioid administration routes significantly increased from 44.6% (n=164) in group 1 to 65.7% (n=251) in group 2 (p<0.001). Participants who were aware that meperidine/pethidine would not be used in chronic pain were 14.1% (n=52) in group 1 and 38.5% (n=147) in group 2 (p<0.001). Conclusion:We think that it is difficult to provide appropriate pain management with healthcare professionals who have not received pain training or whose knowledge has not been renewed. However, comprehension and awareness can be improved with post-graduation pain management education.

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Section: Discussionmentioning

confidence: 54%

Healthcare Professional Knowledge on Pain Definition and Management, Pre-test and Post-test Results of Short Courses

Bakir,

Rumeli,

Ozel

2023

JARSS

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“…Peripheral nerve blocks involve the injection of a local anesthetic near the nerve that serves the surgical area. These anesthetics work by changing the sodium permeability of cell membranes, effectively halting nerve impulse transmission and leading to pain relief [ 38 ]. A distinctive feature of peripheral nerve blocks is their tendency to produce fewer side effects and complications, such as reduced swelling at the surgical site and lessened pain perception.…”

Section: Discussionmentioning

confidence: 99%

Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis

Kim,

Park,

Kim

et al. 2023

Medicina

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Background and Objectives: Through a comprehensive meta-analysis of the pertinent literature, this study evaluated the utility and efficacy of perioperative infraorbital and/or infratrochlear nerve blocks in reducing postoperative pain and related morbidities in patients undergoing septorhinoplasty. Materials and Methods: We reviewed studies retrieved from the PubMed, SCOPUS, Embase, Web of Science, and Cochrane databases up to August 2023. The analysis included a selection of seven articles that compared a treatment group receiving perioperative infraorbital and/or infratrochlear nerve blocks with a control group that either received a placebo or no treatment. The evaluated outcomes covered parameters such as postoperative pain, the amount and frequency of analgesic medication administration, the incidence of postoperative nausea and vomiting, as well as the manifestation of emergence agitation. Results: The treatment group displayed a significant reduction in postoperative pain (mean difference = −1.7236 [−2.6825; −0.7646], I2 = 98.8%), as well as a significant decrease in both the amount (standardized mean difference = −2.4629 [−3.8042; −1.1216], I2 = 93.0%) and frequency (odds ratio = 0.3584 [0.1383; 0.9287], I2 = 59.7%) of analgesic medication use compared to the control. The incidence of emergence agitation (odds ratio = 0.2040 [0.0907; 0.4590], I2 = 0.0%) was notably lower in the treatment group. The incidence of postoperative nausea and vomiting (odds ratio = 0.5393 [0.1309; 2.2218], I2 = 60.4%) showed a trend towards reduction, although it was not statistically significant. While no adverse effects reaching statistical significance were reported in the analyzed studies, hematoma (proportional rate = 0.2133 [0.0905; 0.4250], I2 = 76.9%) and edema (proportional rate = 0.1935 [0.1048; 0.3296], I2 = 57.2%) after blocks appeared at rates of approximately 20%. Conclusions: Infraorbital and/or infratrochlear nerve blocks for septorhinoplasty effectively reduce postoperative pain and emergence agitation without notable adverse outcomes.

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“…The perianesthesia nurses' role in regional anesthesia will vary according to state and facility regulations. 44 Many times, the perianesthesia nurse is called on to monitor the patient receiving regional anesthetics or adjust the nerve stimulator, but on occasion, the perianesthesia nurse is directed to inject LA during the placement of a regional anesthetic at intervals directed by the anesthesia provider. It is therefore critical that the perianesthesia nurse understand the potential side effects and be able to recognize them and prepared to act as a team member in treating them.…”

Section: The Perianesthsia Nurse's Rolementioning

confidence: 99%