BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2017, Poster

Regional anesthesia for foot and ankle surgery outcomes & patient satisfaction

M. El Sayad, M. Blundell, D. Townshend, J. Coorsh, A.N. Murty, R.K. Kakwani

¹Northumbria Healthcare Trust, Northern Deanery, North Tyneside General Hospital, North Shields, United Kingdom

Introduction: There is an increasing popularity of regional anesthesia (blocks) in foot and ankle surgery. Its hindered by the requirement of trained anesthetists, equipment, costs, and complications. Its advantages are avoiding a general anaesthetic and its associated risks, reduced pain scores, opiate requirement and hospital stay. Our aim is to assess patient satisfaction with this service.

Method: Using prospective data collection between 2013 to 2015, a total of 357 patients identified having foot and ankle procedures with a regional anesthetic. Complete pre, intra and postoperative information obtained in 255 cases from patient's notes, telephone questionnaire and out patients clinics.

Results: From 255 patients, 168 females and 87 males with an age range between 15 to 91 years. 199 patients were day cases and 56 were inpatients for either surgical or social reasons. 189 forefoot and 66 hindfoot procedures. 38 patients had a general anesthetic and 217 were either sedated or awake. 64 ankle and 91 popliteal blocks, the average time to perform the block was 13 minutes. Intraoperative analgesia was considered perfect in 232 cases and inadequate in 23 cases, of which 5 were converted to a general anesthetic. In recovery 191 (75%) had a pain score of zero. The block duration lasted between 4 to 48 hours. 66 patients had opiate analgesia postoperatively. 234 patients declared having adequate analgesia in their postoperative period. 247 patients (97%) said they would have the block again for surgery and 239 said they would recommend it. There were no long-term postoperative neurological complications from these blocks.

Conclusion: Our study, one of the largest in the literature shows that regional anesthesia was responsible for a reduction in inpatient stay, pain scores, analgesia requirements and has a high patient satisfaction. With appropriate trained personnel and equipment a very safe procedure with no long term complications.

Print

Tags: Peri-operative Care

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts