70-1 79) “
“Objective The primary goal of this investigatio

70-1.79).”
“Objective. The primary goal of this investigation was to survey military health care professionals at a Camp Bastion, Afghanistan, regarding their perceptions of care delivered by an anesthesiologist-directed acute pain service (APS) at a British Combat Support Hospital (CSH)Role 3. Methods. The APS was directed by a U.S. Army anesthesiologist experienced in acute pain medicine who established an APS within a deployed British CSH. A brief 15-item survey was developed to assess impressions of outcomes, complexity of care, and satisfaction with the APS. Content validity was established

through limited published surveys of APSs, expert review, and end user evaluation. Results. The sample (N = 70, of which 61.4% were male) included 50% nurses, 15.8% surgeons, and 10% anesthesiologists who completed the survey at the end of the 3-month APS implementation JQ1 mouse period. Approximately 75% of the sample agreed or strongly agreed that injured soldiers managed by an APS obtained better pain relief than those who were not. With a 10-point scale, respondents rated how satisfied they were with

the APS (mean 7.70 +/- 1.7), GANT61 ic50 how beneficial it was for patients (7.89 +/- 2), and how important it would be to deploy an APS again to a level 3 facility (8.52 +/- 1.7). Internal consistency reliability (Cronbach’s alpha) for the 12-items measuring perceptions was acceptable, alpha = check details 0.82. Conclusions. Overall, the majority of military health care survey responders indicated support for an APS team as part of a CSH care, and confirmed its contributions

to improving trauma care.”
“Objective. The purpose of this study was to compare continuous femoral nerve analgesia to oral opioid analgesics after discontinuation of epidural analgesia following total knee replacement. Design. Randomized prospective controlled parallel group trial. Setting. Large tertiary university teaching hospital in a major Midwestern city. Subjects. Sixty-two subjects were randomized to receive neuraxial anesthesia followed by either oral analgesics (N = 31) or continuous femoral nerve analgesia (N = 31). Interventions. After discontinuation of epidural anesthesia on the morning after surgery, continuous femoral nerve analgesia (CFA), ropivacaine 25 mg bolus and 5 mg/h infusion was initiated. Catheters were removed 24 hours later. All subjects received oral opioid analgesics as needed. Outcome Measures. The primary outcome measure was knee flexion at 1 month. Physical therapy assessments, pain scores, opioid consumption, and patient satisfaction were assessed during hospitalization. Knee flexion, pain scores, and opioid consumption were collected at 1, 6, and 12 months, and health-related quality of life was collected at 6 and 12 months. Results. The median difference (95% CI) in the change in knee flexion from baseline was 7.5 (0 to15) degrees greater after CFA (P = 0.04) at 1 month.

Comments are closed.