Dr. Madhu Adala ST7

Dr. Michael Blundell Consultant Northumbria Health care trust

Peripheral Nerve Blocks and Regional anaesthesia are very popular in operative anaesthesia and in Acute pain management.

Some Hospitals have little knowledge of how they are performing in regard to both safety and effectiveness.

• Follow-up of patients after peripheral nerve blocks improves professional satisfaction and own practice reflection.

• It may also change the Surgical colleagues perception of regional blocks.

• Post procedure Follow-up systems improve the quality of patient care.

The Aim of the Survey is to know the peripheral nerve block follow-up systems in North East hospitals.

• Questionnaire was sent to all lead regional anaesthesia consultants in North East Hospitals.

• All 10 hospitals in North East were included.

• Good response rate of 90%

1. Do you/your Hospital Trust maintains a Regional Anaesthesia (peripheral nerve block) Database?

2. Method of Regional Anaesthesia Data Entry

3. Do you have Systems in place to follow-up your Blocked patients?

yes. we we have a robust/mandatory system in place for follow up

yes. we do follw-up patients but no robust/mandatory systems in place

we will fallo-up only if there are suspected complications

No. we have no system in place for Follow-up

Other (please specify)

4. Who will do follow-ups in your hospital

5. Do you/your hospital Trust Present this data regularly in your Department Audit Meetings?

6. Do you think there is a need for Uniform Regional / National peripheral nerve Blockade Database for sharing Information and Research?

7. Are you as a Lead in Regional Anasthesia willing to share your Patient Data with your Colleagues nationally?

Electronic data 2

Paper based audit form 4

Have a mandatory system in place

4

Do follow-up but no mandatory system

2

Follow up only when suspected complications

1

No follow up system in place

1

Anaesthetist 3

Nurse 4

Other Surgical Registrar 1

Yes 4

No 3

Other 2 - Circulate the results by email. Available to create personal reports for appraisal. - Presented in regional anaesthesia sub - speciality meeting

Yes 8

No 1

Yes 9

Comments Yes, if this was agreed by the trust governance structure. Yes, Providing there are no patient identifying factors.

Disclosed 6

Not disclosed 3

Scope for Regional level (North East ) Uniform database.

Aim for universal RAUK council approved nation wide database.