Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan
The shortage of doctors is a societal problem, especially in rural areas such as Akita Prefecture, Japan. Therefore, it is not unusual in Akita for orthopedic surgeons to perform upper and lower limb surgeries under ultrasound-guided peripheral nerve blocks managed by the operators themselves. Multi...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/5580591 |
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| author | Tatsuru Tomioka Seietsu Senma Yuichiro Narita Masakazu Urayama Satoshi Yumoto Hiroki Ito Toshiaki Aizawa Tsuyoshi Shirahata Hiroshi Aonuma Nozomi Kaga Norimitsu Masutani Yusuke Yuasa Hikaru Saito Kunio Ebata Kentaro Ouchi Naohisa Miyakoshi Yoichi Shimada |
| author_facet | Tatsuru Tomioka Seietsu Senma Yuichiro Narita Masakazu Urayama Satoshi Yumoto Hiroki Ito Toshiaki Aizawa Tsuyoshi Shirahata Hiroshi Aonuma Nozomi Kaga Norimitsu Masutani Yusuke Yuasa Hikaru Saito Kunio Ebata Kentaro Ouchi Naohisa Miyakoshi Yoichi Shimada |
| author_sort | Tatsuru Tomioka |
| collection | DOAJ |
| description | The shortage of doctors is a societal problem, especially in rural areas such as Akita Prefecture, Japan. Therefore, it is not unusual in Akita for orthopedic surgeons to perform upper and lower limb surgeries under ultrasound-guided peripheral nerve blocks managed by the operators themselves. Multicenter studies of ultrasound-guided peripheral nerve blocks performed by orthopedic surgeons have not been reported. The purpose of this study was to clarify the safety and reliability of ultrasound-guided peripheral nerve blocks performed by orthopedic surgeons in Akita. A total of 1,674 upper extremity surgery cases operated under ultrasound-guided peripheral nerve blocks at 8 hospitals in Akita prefecture from April 2016 to April 2018 were investigated retrospectively. These blocks were performed by a total of 37 orthopedic surgeons, including senior surgeons and residents. In 321 of the 1,674 cases (19%), local anesthetics were added to the surgical field. Two cases with special factors were converted to general anesthesia. There were 2 cases of complications associated with the nerve block, but they were all transient and recovered promptly. The block site and the hospital where the block was performed showed a significant relationship with the addition of local anesthetics to the surgical site (P<0.001). Surgery time, age at surgery, and surgical site showed no significant relationships with the addition of local anesthetics. The volume of the anesthetic used for the nerve block showed a significant inverse relationship with the addition of local anesthetics (P=0.040). Many orthopedic surgeons in Akita prefecture began to perform ultrasound-guided peripheral nerve blocks, which had a reliable anesthesia effect with no noticeable complications, whether performed by residents or senior orthopedic surgeons, and this is a useful anesthetic technique for orthopedic surgeons. |
| format | Article |
| id | doaj-art-0dc5f232fbbf4bc7afd3648a37d1a8de |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-0dc5f232fbbf4bc7afd3648a37d1a8de2025-02-03T06:05:36ZengWileyAdvances in Orthopedics2090-34642090-34722021-01-01202110.1155/2021/55805915580591Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, JapanTatsuru Tomioka0Seietsu Senma1Yuichiro Narita2Masakazu Urayama3Satoshi Yumoto4Hiroki Ito5Toshiaki Aizawa6Tsuyoshi Shirahata7Hiroshi Aonuma8Nozomi Kaga9Norimitsu Masutani10Yusuke Yuasa11Hikaru Saito12Kunio Ebata13Kentaro Ouchi14Naohisa Miyakoshi15Yoichi Shimada16Department of Orthopedic Surgery, Yokote Municipal Hospital, Akita 013-8602, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Yokote Municipal Hospital, Akita 013-8602, JapanDepartment of Orthopedic Surgery, Yokote Municipal Hospital, Akita 013-8602, JapanAkita Hand Group, Akita 010-8543, JapanAkita Hand Group, Akita 010-8543, JapanThe shortage of doctors is a societal problem, especially in rural areas such as Akita Prefecture, Japan. Therefore, it is not unusual in Akita for orthopedic surgeons to perform upper and lower limb surgeries under ultrasound-guided peripheral nerve blocks managed by the operators themselves. Multicenter studies of ultrasound-guided peripheral nerve blocks performed by orthopedic surgeons have not been reported. The purpose of this study was to clarify the safety and reliability of ultrasound-guided peripheral nerve blocks performed by orthopedic surgeons in Akita. A total of 1,674 upper extremity surgery cases operated under ultrasound-guided peripheral nerve blocks at 8 hospitals in Akita prefecture from April 2016 to April 2018 were investigated retrospectively. These blocks were performed by a total of 37 orthopedic surgeons, including senior surgeons and residents. In 321 of the 1,674 cases (19%), local anesthetics were added to the surgical field. Two cases with special factors were converted to general anesthesia. There were 2 cases of complications associated with the nerve block, but they were all transient and recovered promptly. The block site and the hospital where the block was performed showed a significant relationship with the addition of local anesthetics to the surgical site (P<0.001). Surgery time, age at surgery, and surgical site showed no significant relationships with the addition of local anesthetics. The volume of the anesthetic used for the nerve block showed a significant inverse relationship with the addition of local anesthetics (P=0.040). Many orthopedic surgeons in Akita prefecture began to perform ultrasound-guided peripheral nerve blocks, which had a reliable anesthesia effect with no noticeable complications, whether performed by residents or senior orthopedic surgeons, and this is a useful anesthetic technique for orthopedic surgeons.http://dx.doi.org/10.1155/2021/5580591 |
| spellingShingle | Tatsuru Tomioka Seietsu Senma Yuichiro Narita Masakazu Urayama Satoshi Yumoto Hiroki Ito Toshiaki Aizawa Tsuyoshi Shirahata Hiroshi Aonuma Nozomi Kaga Norimitsu Masutani Yusuke Yuasa Hikaru Saito Kunio Ebata Kentaro Ouchi Naohisa Miyakoshi Yoichi Shimada Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan Advances in Orthopedics |
| title | Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan |
| title_full | Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan |
| title_fullStr | Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan |
| title_full_unstemmed | Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan |
| title_short | Ultrasound-Guided Peripheral Nerve Blocks Performed by Orthopedic Surgeons: A Retrospective, Multicenter Study in Akita Prefecture, Japan |
| title_sort | ultrasound guided peripheral nerve blocks performed by orthopedic surgeons a retrospective multicenter study in akita prefecture japan |
| url | http://dx.doi.org/10.1155/2021/5580591 |
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