A orthopod at my hospital who is coming from the east coast doesn't seem particularly pro regional (no fnb for acls etc) and that's fine. This surgeon does want ISBs for his total and reverse total shoulders, however he wants them in pacu after a neuro assessment. There are a number of reasons I might be against this including:
1) seems bad for pt to endure discomfort for no benefit to patient potentially
2) dangerous to add block to narc'ed pt esp if OSA/copd etc
3) thorough neuro exam prob...
Reverse total shoulders and total shoulders
1) seems bad for pt to endure discomfort for no benefit to patient potentially
2) dangerous to add block to narc'ed pt esp if OSA/copd etc
3) thorough neuro exam prob...
Reverse total shoulders and total shoulders