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Patient perception of the ischemic arm block
J N Scott1, J G Horne, P A Devane
1Department of Orthopaedic Surgery, Wellington Hospital, New Zealand.
Journal of Orthopaedic Trauma
|October 22, 1998
Summary
Patient pain perception of the ischemic arm block was investigated. Significant tourniquet cuff pain was common, but manipulation pain, though less frequent, correlated with dissatisfaction.
Area of Science:
- Anesthesiology
- Orthopedic Surgery
Background:
- The ischemic arm block is a regional anesthesia technique used in orthopedic procedures.
- Patient experience and pain perception are crucial for evaluating the efficacy and acceptance of anesthetic interventions.
Purpose of the Study:
- To assess patient perceptions regarding pain experienced during and after an ischemic arm block.
- To identify factors associated with patient dissatisfaction with the procedure.
Main Methods:
- Retrospective study involving 181 patients who underwent an ischemic arm block at a major city hospital.
- A questionnaire was mailed to assess patient-reported pain and satisfaction.
- Response rate was 71%.
Main Results:
- 42% of patients reported significant pain from the tourniquet cuff.
- 29% reported significant pain during manipulation or within the first hour post-procedure.
- Manipulation pain was closely related to post-procedure pain and dissatisfaction, while cuff pain was not indicative of increased pain sensitivity.
Conclusions:
- Significant pain from the tourniquet cuff is a common occurrence during ischemic arm blocks.
- Manipulation pain, while less common, is a significant factor contributing to patient dissatisfaction.
- Addressing cuff and manipulation pain may improve patient experience and satisfaction with the procedure.