Presentation Type
Poster
Discipline Track
Community/Public Health
Abstract Type
Research/Clinical
Abstract
Background: Peripheral nerve neuralgia is a common manifestation of diabetes and can cause patients to have severe episodes of pain. Although pharmacologic treatment with antineuropathic drugs are first line, they often are not effective and can warrant further treatment with peripheral nerve blocks. Further studies support that peripheral nerve blocks should be considered as the first option for anesthesia for lower limb surgery in diabetic patients. The goal of this study is to evaluate local anesthetic agent regimens in the Rio Grande Valley for peripheral nerve blocks in diabetic patients and determine post operative effectiveness and complications.
Methods: Here, we conducted a retrospective chart review at UTHealth RGV. We evaluated medical charts with ICD-10 codes for Diabetes (E109, E1100) that also had current procedural terminology (CPT) codes for perioperative peripheral nerve blocks. For all referenced medical charts we evaluated sex, age, time of diagnosis, ethnicity, pre-operative notes, post-operative notes, past medical history, current medical history, duration of block and number of blocks. Medical charts were excluded from the analysis that were duplicative, incomplete, or misclassified. Data was analyzed in SPSS to determine if there were significant advantages for certain anesthetic agents or certain complications that arose more frequently with certain anesthetic agents.
Results/Discussion: We evaluated over 2000 medical charts from UTHealth RGV that were coded with a diagnosis of diabetes. We observed a high variation in the types of peripheral nerve blocks utilized perioperatively. Our preliminary data suggests that peripheral nerve blocks in patients with diabetes show varying efficacy and in some cases, substantial complications.
Conclusion: Our data and project highlights that post-operative effectiveness and complications can be altered in patients with diabetes. Future work will evaluate how differing types of neuropathy may influence peripheral nerve block outcomes.
Academic/Professional Position
Medical Student
Recommended Citation
Kolodziej, Andrew; Valdez, Alisha; Flores, Jessica; and Potter-Baker, Kelsey, "Investigation of the efficacy local anesthetics for perioperative peripheral nerve blocks in patients with diabetes: A Retrospective Chart Review" (2024). Research Symposium. 41.
https://scholarworks.utrgv.edu/somrs/2024/posters/41
Included in
Investigation of the efficacy local anesthetics for perioperative peripheral nerve blocks in patients with diabetes: A Retrospective Chart Review
Background: Peripheral nerve neuralgia is a common manifestation of diabetes and can cause patients to have severe episodes of pain. Although pharmacologic treatment with antineuropathic drugs are first line, they often are not effective and can warrant further treatment with peripheral nerve blocks. Further studies support that peripheral nerve blocks should be considered as the first option for anesthesia for lower limb surgery in diabetic patients. The goal of this study is to evaluate local anesthetic agent regimens in the Rio Grande Valley for peripheral nerve blocks in diabetic patients and determine post operative effectiveness and complications.
Methods: Here, we conducted a retrospective chart review at UTHealth RGV. We evaluated medical charts with ICD-10 codes for Diabetes (E109, E1100) that also had current procedural terminology (CPT) codes for perioperative peripheral nerve blocks. For all referenced medical charts we evaluated sex, age, time of diagnosis, ethnicity, pre-operative notes, post-operative notes, past medical history, current medical history, duration of block and number of blocks. Medical charts were excluded from the analysis that were duplicative, incomplete, or misclassified. Data was analyzed in SPSS to determine if there were significant advantages for certain anesthetic agents or certain complications that arose more frequently with certain anesthetic agents.
Results/Discussion: We evaluated over 2000 medical charts from UTHealth RGV that were coded with a diagnosis of diabetes. We observed a high variation in the types of peripheral nerve blocks utilized perioperatively. Our preliminary data suggests that peripheral nerve blocks in patients with diabetes show varying efficacy and in some cases, substantial complications.
Conclusion: Our data and project highlights that post-operative effectiveness and complications can be altered in patients with diabetes. Future work will evaluate how differing types of neuropathy may influence peripheral nerve block outcomes.