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R E G I O N A L
A N E S T H E S I A
induced deficits
and fall precautions.
Implementing
your program
Without surgeon
buy-in, perineural
infusion is a nonstarter. Surgeons
must understand
and accept that
there will be
drawbacks in
addition to the
benefits to their
patients. Just as
HIDE AND SEEK Ultrasound-guided catheter insertion has
been demonstrated to greatly reduce catheter insertion times,
there are risks
compared with older insertion modalities.
associated with
every surgical procedure, there are risks associated with CPNBs.
If the CPNB program is terminated after the first CPNB-related
complication, there's no point in even starting the program.
The surgeon should introduce patients to CPNBs during the initial discussion of the surgical procedure and perioperative period.
Details of the specific risks and benefits should be introduced in
the anesthesia pre-op clinic to provide informed consent and prevent delay of the surgical start on the day of surgery. The person
checking patients in should have a list of the patients expected to
have CPNBs so that these individuals can receive priority upon
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