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deleted162650
If you can do a single shot, you can put a catheter there. Takes more time, but isn’t any more difficult.
Really? Is the difference enough to justify the trouble? Are the knees ambulatory? A total knee with a single shot technique will have a comfortable first 24h needing on average 10mg of morphine, the next 24h are not as great but on average they're at 30-40mg of morphine over the first 3-4 days so i'm not placing a catheter to save them from taking 3-4 10mg oxy.
How much is way way? 🙂way, way, way more
How much is way way? 🙂
It may be useful if you go from 200mg to 20, but my range is 10 to 60mg and often the ones that use more than 30 do so because of pain from another source (back). We don't have a lot of patients on narcs preop which probably helps.
Also a fem cath with PT are going to shift in a significant amount of cases.
I don't disagree, i just don't think there is much use for nerve catheters in 2020But seriously what is the point of a regional fellowship that doesn't do catheters? That's like a cardiac fellowship that doesn't do echo
Why are you putting a femoral catheter for patients getting physical therapy they’re going to have a motor block.
I don't disagree, i just don't think there is much use for nerve catheters in 2020
helps our hospital turn a profit on even CMS joint patients so they are quite appreciative
If our joints get readmitted for paint control it’s always a knee and always when the prescription for oxycodone runs out. It’s never in PODs 2-4.
I have no opinion on a regional fellowship. It’s like an OB fellowship honestly. Little to no real utility (provided your residency program held up its end of the deal), but there are some unicorn private practice jobs who recruit the fellowships Bc the group/hospital like to brag about it. And academic shops recruit it to lead the division. So I don’t fault anyone for doing it.
That's 50-100mg over a week which isn't that bad.I'd ballpark previous average around 10-20 5 mg percocets over the first week
That's 50-100mg over a week which isn't that bad.
10mg of morphine/day? Not too bad for getting your leg cut off.for a median age of about 70, it's definitely not good
10mg of morphine/day? Not too bad for getting your leg cut off.
Why not a repeat ACB for the 5% that need readmission?