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Assessing patient knowledge and concerns about peripheral nerve blocks: Implications for preoperative education
Deborah Choe1, Kelly Lin1, Mahsa Babaei1
1Department of Anesthesiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Most patients undergoing outpatient orthopedic surgery have limited knowledge of peripheral nerve blocks. Educational initiatives are needed to improve patient understanding and informed decision-making for better outcomes.
Area of Science:
- Anesthesiology
- Patient Education
- Surgical Outcomes
Background:
- Peripheral nerve blocks offer significant benefits like reduced pain and opioid use.
- Patient comprehension of peripheral nerve blocks is not well understood.
- Outpatient orthopedic surgery patients often lack adequate knowledge regarding nerve blocks.
Purpose of the Study:
- To assess patient knowledge of peripheral nerve blocks (PNBs).
- To identify knowledge gaps in patients undergoing outpatient orthopedic surgery.
- To evaluate patient concerns regarding PNB complications.
Main Methods:
- A survey study was conducted with adult patients undergoing outpatient orthopedic surgery.
- Participants completed a 10-item true/false survey on PNBs.
- Patient concerns about PNB complications were ranked.
Main Results:
- A significant majority of patients reported limited prior understanding of PNBs.
- Only 4.0% of patients considered themselves "very knowledgeable."
- Neurological and infectious complications were the most significant patient concerns.
Conclusions:
- Significant knowledge deficits exist regarding PNBs, especially continuous blocks and their comparison to general anesthesia.
- Targeted preoperative educational strategies are essential.
- Improved patient education can enhance informed consent and patient-centered outcomes.
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