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ETD Abstract Container

Abstract Header

SINGLE SHOT ADDUCTOR CANAL NERVE BLOCKADE IN TOTAL KNEE ARTHROPLASTY: A QUALITY IMPROVEMENT PROJECT

Docs, Nicholas
http://orcid.org/0009-0004-7965-9410
http://rave.ohiolink.edu/etdc/view?acc_num=casednp17092242200788

Abstract Details

2024, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Problem. Each year, over 700,000 total knee arthroplasty (TKA) surgeries are performed, and these procedures are often accompanied by significant postoperative pain. To manage this pain and improve functional mobility, the use of regional anesthesia, specifically the adductor canal block (ACB) has become common in orthopedic surgery. However, there is currently a lack of consensus on the most effective method for administering regional anesthesia and managing postoperative pain. A specialized orthopedic hospital in Ohio, currently utilizes both the single shot adductor canal block (SACB) and continuous catheter adductor canal (CACB) technique to manage postoperative pain in TKA. There is evidence for the use of the adductor canal block for postoperative pain management in TKA; however, it is yet unknown how the adductor canal block technique (SACB vs CACB) affects opioid usage and functional knee mobility in this setting. Purpose. The aim of this quality improvement (QI) DNP project was to investigate the effect of using the SACB and patient outcomes after TKA. The outcomes variables examined included post-operative opioid consumption and functional knee mobility (flexion and extension range). This data will also be compared to the results of another quality improvement project with the use of a CACB in TKA. Methods. This was a quality improvement project following a non-interventional retrospective chart analysis design. A convenience sample of 50 patients (25 SACB and 25 CACB) who had undergone TKA surgery at an orthopedic specialized facility in Ohio from January 2023 to September 2023 was taken. The Data was collected from EPIC TM electronic health records and were de-identified via a senior operations analyst. Data was analyzed with descriptive statistics. Patient Outcomes Single Shot Adductor Canal Nerve Block v Data from the SACB group was also compared to the CACB QI project of another group member using independent T-tests for given outcomes. Results. In comparing SACB and CACB in TKA, the mean opioid consumption within the first 24 hours post-surgery was 35.5 milligram morphine equivalents (MME) for SACB and 32.7 MME for CACB. Statistical analysis revealed no significant difference in opioid usage between the two groups. Additionally, functional knee mobility measured in degrees of flexion and extension displayed no significant disparity between SACB and CACB groups.
Christopher Bibro (Committee Chair)
Nursing

Recommended Citations

Citations

  • Docs, N. (2024). SINGLE SHOT ADDUCTOR CANAL NERVE BLOCKADE IN TOTAL KNEE ARTHROPLASTY: A QUALITY IMPROVEMENT PROJECT [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp17092242200788

    APA Style (7th edition)

  • Docs, Nicholas. SINGLE SHOT ADDUCTOR CANAL NERVE BLOCKADE IN TOTAL KNEE ARTHROPLASTY: A QUALITY IMPROVEMENT PROJECT. 2024. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp17092242200788.

    MLA Style (8th edition)

  • Docs, Nicholas. "SINGLE SHOT ADDUCTOR CANAL NERVE BLOCKADE IN TOTAL KNEE ARTHROPLASTY: A QUALITY IMPROVEMENT PROJECT." Doctoral dissertation, Case Western Reserve University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=casednp17092242200788

    Chicago Manual of Style (17th edition)

casednp17092242200788
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This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.
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