The impact of peripheral nerve techniques on hospital stay following major orthopedic surgery.

摘要: Objective.  To determine the impact of regional anesthesia on hospital stay for selected orthopedic procedures compared with traditional pain control modalities. Design.  In an era increasing volume surgeries, modalities that can optimize patient care while minimizing length have reducing costs as well satisfaction and improving outcomes. Previous studies shown potential benefits over intravenous (IV) narcotics in meeting these goals procedures. Methods.  We retrospectively analyzed medical records 494 patients who underwent major performed postoperative management alone (IV patient-controlled analgesia oral narcotics), single injection peripheral nerve block (PNB), continuous (CPNB) order to different might stay. Results.  When modalities, PNB CPNB were associated decreased stay, though results specific surgeries varied. The hazard ratios discharge from a Current Procedural Terminology code-stratified, covariate (age, gender, ASA status) adjusted Cox proportional hazards model vs no 1.35 (95% confidence interval: 1.02–1.79) 1.91 1.42–2.57), respectively, pointing toward earlier when PNBs used. Conclusions.  Our retrospective case review showed that, overall, lengths tended be shorter surgery receiving than those management.