All polls

February

Effectiveness of Pec Blocks:
A) Not sure - need more data (24 Votes)
B) Outstanding pain management modality after breast surgery (28 Votes)
C) Helps the pain Rx somewhat (19 Votes)
D) Not very helpful in my practice (9 Votes)
E) Not sure (15 Votes)

January

Femorall block: Quadriceps muscle weakness and short duration of analgesia with single-injection blocks may limited its use for analgesia after TKR. Describe the pattern in your practice:
A) We do not use blocks at all after TKR (12 Votes)
B) We used to use femoral blocks but not any more (13 Votes)
C) We use continuous but not single-injection femoral blocks (20 Votes)
D) Surgeons objects to using femoral blocks (3 Votes)
E) We switched to adductor canal blocks (32 Votes)

December - 2014

Liposomic Bupivacaine in peripheral nerve blocks:
A) Can't wait to get my hands on it (6 Votes)
B) Will replace catheters (5 Votes)
C) Will make PNBs much more useful (1 Votes)
D) Does not really have much role in my practice (5 Votes)
E) Not sure, not enough information (14 Votes)
F) A B C (11 Votes)

November - 2014

TAP block
A) Does not result in consistent analgesia (20 Votes)
B) Result in excellent, consistent analgesia (22 Votes)
C) Needs multiple injections for success (7 Votes)
D) Needs LARGE volume of LA (30-50ml) for success (31 Votes)
E) Only posterior approach works (6 Votes)

October - 2014

When added to Local Anesthetics, Dexamethasone:
A) Does not do anything really (13 Votes)
B) Prolongs analgesia a little (28 Votes)
C) Prolongs analgesia substantially (31 Votes)
D) Prolongs both sensory and motor block (17 Votes)
E) Effects are similar to an IV injection (13 Votes)

September - 2014

Continuous nerve blocks in my practice:
A) We do them increasingly more (13 Votes)
B) The number has been steady (3 Votes)
C) We do less catheters than we used to (13 Votes)
D) We rarely do them (8 Votes)
E) We never do them; can't wait for Exparel (11 Votes)

August - 2014

Nerve blocks on the wrong side:
A) Can occur to anyone (11 Votes)
B) Difficult to prevent entirely (2 Votes)
C) Occurred in our practice (5 Votes)
D) All of the above (27 Votes)
C) Concern overrated; this is uncommon (9 Votes)

July - 2014

Should sterile drape be routinely used with single-shot nerve blocks:
A) YES (31 Votes)
B) NO (52 Votes)
C) YES BUT I DO NOT HAVE THEM IN OUR PRACTICE (6 Votes)
D) THEY COST TOO MUCH FOR WHAT THEY DO (4 Votes)
E) NOT SURE (1 Votes)

May - 2014

Liposomal bupivacaine (Exparel) and use for nerve blocks
A) I do not have access to Exparel (35 Votes)
B) I have access to Exparel but do not use it for nerve blocks (6 Votes)
C) I have used Exparel for nerve blocks with success (13 Votes)
D) I have used Exparel for nerve blocks but have not been impressed with results (1 Votes)
E) I will await FDA approval first and consider using for nerve blocks (4 Votes)

April - 2014

The value of stimulating catheters when place under US guidance:
A) They are useful - stimulation through the catheter is helpful (11 Votes)
B) No value- I use only US to check catheter placement (9 Votes)
C) No value - I do not use nerve stimulator with US at all (3 Votes)
D) Too expensive but could be useful (4 Votes)
E) I do not do many continuous blocks anyway (3 Votes)

February - 2014

For endovascular surgery with access at the femoral artery, what is the most common anesthesia technique used in your practice:
A) General anesthesia (LMA or ETT) (61 Votes)
B) Local anesthesia by surgeons IV sedation (27 Votes)
C) Spinal Anesthesia (36 Votes)
D) Epidural Anesthesia (11 Votes)
E) Surgeons perform this under local, we are not involved (8 Votes)

January - 2014

Dexamethasone mixed with ropivacaine or bupivacaine:
A) Does not prolong analgesia (8 Votes)
B) Prolongs analgesia slightly (14 Votes)
C) Prolongs analgesia substantially (36 Votes)
D) Clonidine is better (24 Votes)
E) I do not use either additive to local anesthetics in my practice (38 Votes)

December - 2013

The BEST strategy for postoperative analgesia after knee arthroplasty:
A) Epidural analgesia (23 Votes)
B) Femoral Block, single shot / multimodal analgesia (16 Votes)
C) Femoral Block, catheter / multimodal analgesia (17 Votes)
D) Femoral Catheter & Sciatic Block / multimodal analgesia (28 Votes)
E) Femoral & Sciatic Block single shot / multimodal analgesia (12 Votes)

October - 2013

Should jewelry be removed prior to performing regional anesthesia procedures:
1. Not necessary to remove (24 Votes)
2. Should remove but only for spinal/epidural/ catheter techniques (5 Votes)
3. Should always remove (93 Votes)
4. Not sure (7 Votes)
5. Who cares? (16 Votes)