Feasibility and safety of ultrasound-guided nerve block for management of limb injuries by emergency care physicians.
J Emerg Trauma Shock
; 5(1): 28-32, 2012 Jan.
Article
en En
| MEDLINE
| ID: mdl-22416151
ABSTRACT
BACKGROUND:
Patients require procedural sedation and analgesia (PSA) for the treatment of acute traumatic injuries. PSA has complications. Ultrasound (US) guided peripheral nerve block is a safe alternative.AIM:
Ultrasound guided nerve blocks for management of traumatic limb emergencies in Emergency Department (ED). SETTING ANDDESIGN:
Prospective observational study conducted in ED. MATERIALS ANDMETHODS:
Patients above five years requiring analgesia for management of limb emergencies were recruited. Emergency Physicians trained in US guided nerve blocks performed the procedure. STATISTICALANALYSIS:
Effectiveness of pain control, using visual analogue scale was assessed at baseline and at 15 and 60 minutes after the procedure. Paired t test was used for comparison.RESULTS:
Fifty US guided nerve blocks were sciatic- 4 (8%), femoral-7 (14%), brachial- 29 (58%), median -6 (12%), and radial 2 (4%) nerves. No patients required rescue PSA. Initial median VAS score was 9 (Inter Quartile Range [IQR] 7-10) and at 1 hour was 2(IQR 0-4). Median reduction in VAS score was 7.44 (IQR 8-10(75%), 1-2(25%) (P=0.0001). Median procedure time was 9 minutes (IQR 3, 12 minutes) and median time to reduction of pain was 5 minutes (IQR 1,15 minutes). No immediate or late complications noticed at 3 months.CONCLUSION:
Ultrasound-guided nerve blocks can be safely and effectively performed for upper and lower limb emergencies by emergency physicians with adequate training.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_recursos_humanos_saude
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
J Emerg Trauma Shock
Año:
2012
Tipo del documento:
Article
País de afiliación:
India