Patient and Surgeon Satisfaction with Extremity Blockade for Surgery in Remote Locations

Use of ropivacain and lidocaine for axillary plexus blockade

“…Although regional anaesthesia is seen mostly sceptic initially, adult patients undergoing plexus anaesthesia would be in 78-93% agreeable to a redo of the same anaesthetic technique. [22] Further, excellent postoperative pain relief could increase acceptance of plexus anaesthesia by parents Based on our results, as a local anaesthetic for paediatric forearm surgery, Ropivacaine 0.5% has a greater duration of effectiveness than Lidocaine and should be considered to be a safe and effective alternative.…”

Regional Anaesthesia and Analgesia on the Front Line

“…Potential advantages include reduced operative blood loss, improved operative conditions and a more rapid recovery with less pain when compared to general anaesthesia alone. There is a significant sparing in the use of opiates and therefore complications from their use 12,13 . There is a high level of satisfaction from both surgeons and patients when continuous regional anaesthesia is used 13 .…”

“…There is a significant sparing in the use of opiates and therefore complications from their use 12,13 . There is a high level of satisfaction from both surgeons and patients when continuous regional anaesthesia is used 13 . The advantages are clear for a hard-pressed field hospital; it allows more care to be comfortably provided to more patients with less skilled staff, less use of difficult-to-resupply resources and usually a faster and more stable recovery phase leading potentially to a more rapid return to the battlefield 14 .…”