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Anesthesiology/Nerve Block for ACL Reconstruction

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Question
I'm scheduled for ACL reconstruction next week (two hamstring graft), and I've opted NOT to have a nerve block (I freak out when I wake up during the night with just my hand/arm/leg being asleep!! It throws me into an immediate panic attack...I just have to be able to 'feel'). After reading online all about ACL construction, I understand that upon waking after surgery, the pain is excruciating. Everyone recommends a nerve block. MY QUESTION: is there another way to control the pain without a nerve block? I'm allergic to codeine but can tolerate Demerol. If a nerve block is absolutely necessary, than I'll be canceling my surgery. / Thank you so much for your input and time devoted to this site!!

Answer
Hi there and thanks for the question!

A nerve block is not absolutely necessary but certainly does alot for the pain. However, if you really do not want one the only other option is IV and oral narcotics.

So the upside is yes, there is another way to help the pain but the downside is that it comes with side effects that nerve bocks do not. Really up to you ;)

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Mike MacKinnon MSN FNP-C CRNA

Expertise

I am a former Trauma Flight RN now a Family Nurse Practitioner and a Nurse Anesthetist (CRNAs). I can help answer questions on the CRNA profession and clinical anesthesia. I work full time as an independent practice CRNA and have a special interest in regional anesthesia, particularly peripheral nerve blocks. I also teach ultrasound regional anesthesia and lecture all over the country. If I do not know the answer, I will find it for you.

Experience

I am a Family Nurse Practitioner and a Nurse Anesthetist who works as an independent/autonomous practitioner. There are often questions about my profession and I would like to offer the service of an actual CRNA. If you did not know, there are about 40000 of us which equates to 50% of the anesthesia providers in the USA today. I also lecture and teach ultrasound regional anesthesia all over the country.

Organizations
AANA (American Association of Nurse Anesthetists)
IARS (International Anesthesia Research Society) AANP (American Association of Nurse Practitioners)

Publications
Air Medical Transport Journal
OutPatient Surgery Magazine


Education/Credentials
Bachelors of Science in Nursing
Masters in Nursing
Family Nurse Practitioner
Certified Registered Nurse Anesthetist (CRNA)


Awards and Honors
Excellence in anesthesia education award

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