Selective Nerve Block Combined With Tumescent Anesthesia

Area of Science:

• Anesthesiology
• Plastic Surgery
• Pain Management

Background:

• Tumescent anesthesia is commonly used for superficial surgical procedures.
• Patient comfort during anesthesia administration is crucial for overall satisfaction.
• Preemptive pain management strategies can improve surgical outcomes.

Purpose of the Study:

• To assess the impact of selective nerve blocks preceding tumescent anesthesia on patient pain and anxiety.
• To compare pain and anxiety levels in patients receiving tumescent anesthesia alone versus those receiving nerve blocks followed by tumescent anesthesia.

Main Methods:

• Prospective study involving 80 patients undergoing hand surgery.
• Group 1: Tumescent anesthesia only (n=40).
• Group 2: Selective nerve blocks followed by tumescent anesthesia (n=40).
• Pain and anxiety assessed preoperatively, intraoperatively, and postoperatively via questionnaires.
• Data analyzed using independent samples t-test.

Main Results:

• No significant differences in age, sex, or diagnosis between groups.
• No complications were reported for tumescent anesthesia or nerve blocks.
• The group receiving nerve blocks reported significantly lower pain during anesthesia injections.
• No significant differences in intraoperative or postoperative pain and anxiety levels were observed between groups.

Conclusions:

• Combining selective nerve blocks with tumescent anesthesia in hand surgery effectively reduces injection-related pain.
• This combined approach leads to increased patient satisfaction.
• The technique offers a valuable strategy for improving patient experience during tumescent anesthesia.