ABSTRACT
BACKGROUND:
Dorsal digital block refers to the commonly used
anesthesia for
adults in smal or moderate
hand injury surgeries, but in recent years, modified transthecal digital block
technique is gradualy respected, which is favored with a rapid and good effect and fewer
complications.
OBJECTIVE:
To evaluate the clinical
anesthetic outcomes of modified transthecal digital block and traditional dorsal digital block
technique for the
treatment of
hand injury of
adults in
emergency by a prospective randomized controled study.
METHODS:
Totaly 60
adult patients with
hand injury were enroled and divided into two groups of modified transthecal digital block and traditional dorsal digital block randomly. Blocks were performed by one single surgeon. The operation
time,
local anesthetic dose, onset
time of
anesthesia, duration of
anesthesia, success rate of
anesthesia, visual analogue scale scores and
complications were recorded. RESULTS AND
CONCLUSION:
The
anesthesia effects in the two groups were acceptable. There was no significant difference in the onset
time of
anesthesia, duration of
anesthesia, success rate of
anesthesia and
complications between the two groups (P > 0.05). The operation
time of
anesthesia, local anesthetic dose, and visual analogue scale scores were significantly different between the two groups (P< 0.05). Modified transthecal digital block is more convenient and has less
pain than the traditional root digital block, which is a safe and reliable
anesthetic technique.