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painpointers The facts about continuous peripheral nerve block By Diane Kelton, BSN, RN Nurse Manager • Alvin C. York VA Medical Center • Murfreesboro, Tenn. Wanda Williams, MSN, APRN Nurse Practitioner • Alvin C. York VA Medical Center • Murfreesboro, Tenn. Charlotte Davis, BSN, RN, CCRN CCU/CVICU Direct Care Nurse • Heritage Medical Center • Shelbyville, Tenn. Direct Care Nurse/Charge Nurse • Alvin C. York VA Medical Center • Murfreesboro, Tenn. Continuous peripheral nerve block, also constipation, itching, respiratory depres- In a recent known as perineural local anesthetic or sion, and sedation; better rest after surgery; study, post-op PLA, delivers anesthetic medication via a and easier participation in physical therapy. patients were catheter placed underneath the skin adjacent Recent research has shown that periph- more satisfi ed to localized nerves to reduce or eliminate eral nerve block was superior to patient- pain. Peripheral nerve block is considered controlled analgesia (PCA) and associated with peripheral safe and effective regional anesthesia for: with fewer adverse reactions, such as seda- nerve block • post-op pain (shoulder, elbow, forearm, tion, nausea, vomiting, constipation, and than PCA. wrist, hand, fi nger, knee, leg, ankle, and sensorimotor defi cits. The research results foot) also noted
Nursing Made Incredibly Easy! – Wolters Kluwer Health
Published: Sep 1, 2013
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