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174 Perioperative journey of patients having upper limb nerve blocks- a service evaluation and QI project
  1. M Singh1,
  2. S Dondapati2 and
  3. A Singh2
  1. 1Stoke School of Anaesthesia, Stoke-on-Trent, UK
  2. 2New Cross Hospital, Wolverhampton, UK


Background and Aims Regional anaesthesia (RA) improves postoperative analgesia and can contribute to a reduction in postoperative nausea and vomiting (PONV). RA can improve value of care by reducing length of stay and enhancing patient satisfaction1.

Regional nerve blocks are commonly performed for upper limb day case surgeries at our centre. We did a prospective patient survey on perioperative experience of upper limb surgery with nerve blocks.

Methods Patients who had regional nerve blocks for upper limb surgery were given proforma to fill after surgery with pre-stamped envelopes. We included 28 proformas returned from March to June 2019 for the survey.

Results All patients received anaesthetic information pre-surgery which included pre-assessment nurse (7/28), information leaflet (2/28) and both (19/28). One patient found information provided unsatisfactory. Quarter of (8/28) patients reported severe pain and PONV during first 24 hours and timings of first oral pain relief was variable with non-standardised analgesics on prescription.

Most of patients (92%) would prefer to have nerve block again.

Conclusions Results showed that post op pain prescription varied. Although most patients were satisfied with nerve block information but could be improved. We recommended to standardise post-operative discharge prescription. We suggested to produce patient video about the perioperative journey of nerve blocks for upper limb surgery which has been produced and will be implemented soon as delayed by pandemic.

Regular patient satisfaction surveys are needed for service evaluation and improvement.

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