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[Evaluation of regional anesthesia procedure in an emergency department]
R Fuzier1, B Tissot, V Mercier-Fuzier
1Service d'accueil des urgences, département d'anesthésie-réanimation, 1, avenue J. Poulhès, 31403 Toulouse, France. fuzier.r@chu-toulouse.fr
Objectives:
Evaluation of regional anaesthesia procedures for limb traumatic surgery performed in an emergency department.
Method:
Anaesthetic procedures concerning traumatic emergencies have been studied from 1995 to 2000.
Results:
A 32% increase in anaesthesia practice was observed from 1995 (221) to 2000 (292) with a 52% increase in regional anaesthesia. Since 1996, regional anaesthesia represents more than 80% of the anaesthetic procedures and 90% for the upper limb surgery (66% of the surgical procedures). Axillary block (50%), interscalene brachial plexus block (15%) and combined sciatic and femoral nerve block (17%) were the main regional anaesthesia procedures. Spinal anaesthesia (9 cases) and intravenous locoregional anaesthesia (12 cases) were rarely used.
Conclusion:
In our study, regional anaesthesia is the most used technique when compared to general anaesthesia for emergency procedure. The anaesthetic staff has to be motivated and trained.