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The type of surgery you are describing, a block is ideal. Not only do you have anesthesia at the surgical site, it will remain pain free in the immediate few hours after surgery. Time for your oral analgesia meds to kick in.
I never do a regional block without some sedation. And I use alot. It's cheap and the patients seem to appreciate it.
Generaly at least a couple of milligrams of Versed before the block with 50-75 mcgs of Fentynl. And prior to prepping and drapping a few more milligrams of Versed and 50 to 100 mcgs of fentany. And if it is to be a long procdure I will start a diprivan drip to keep you lightly napping thoughout the procdure.
The Versed helps you (the patient) not remember much of the procedure.
Regionals are one of the safest forms of anesthesia and for extremity surgeries they are highly recommened.
Generaly I reccmmend a regional to the patient, frequently the patient whats too be "asleep" for the procdure. So we gives them what they want, and they end up with a general. Besides the reimbursemt is better for a general.
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