Can ultrasound-guided infraclavicular block be an alternative option for forearm reduction in the emergency department? A prospective randomized study

다국어 초록 (Multilingual Abstract)

Objective Ultrasound-guided infraclavicular nerve block (IB) has become a well-established method in several outpatient procedures; however, its use in emergency departments (EDs) remains limited. The aim of this study was to compare procedural sedation and anlagesia (PSA) and IB in the pain management for patients who underwent forearm fracture reduction in the ED. Methods This prospective randomized study included 60 patients aged 18 to 65 years, who visited the ED with forearm fractures. They were randomly divided into two groups: Group PSA (n=30) and Group IB (n=30). The pain scores of patients were evaluated before and during the procedure with the visual analog scale. Complications and patient and operator satisfaction levels were recorded. Results There was no difference between the two groups in terms of demographic characteristics. The median (interquartile range) pain scores observed during the procedures were significantly higher in Group PSA than in Group IB (4 [4–6] vs. 2 [0–2], respectively; P

참고문헌 (Reference)

1 Wu JC, "Wrist fractures and osteoporosis" 50 : 211-221, 2019

2 Maghraby N, "What is the impact of the implementation of an evidence based procedural sedation protocol in the emergency department?" 6 : 282-, 2016

3 Mora Capin A, "Usefulness of capnography for monitoring sedoanalgesia: influence of oxygen on the parameters monitored" 80 : 41-46, 2014

4 Stone MB, "Ultrasound-guided supraclavicular brachial plexus nerve block vs procedural sedation for the treatment of upper extremity emergencies" 26 : 706-710, 2008

5 Koscielniak-Nielsen ZJ, "Ultrasound-guided peripheral nerve blocks : what are the benefits" 52 : 727-737, 2008

6 Heflin T, "Ultrasound-guided infraclavicular brachial plexus block for emergency management of a posterior elbow dislocation" 33 : 1324-, 2015

7 Frenkel O, "Ultrasound-guided forearm nerve blocks in kids : a novel method for pain control in the treatment of hand-injured pediatric patients in the emergency department" 31 : 255-259, 2015

8 Roback MG, "Tracking and Reporting Outcomes Of Procedural Sedation(TROOPS) : standardized quality improvement and research tools from the International Committee for the Advancement of Procedural Sedation" 120 : 164-172, 2018

9 Gurich RW Jr, "Tourniquet deflation prior to 20 minutes in upper extremity intravenous regional anesthesia" 13 : 223-227, 2018

10 Chung KC, "The frequency and epidemiology of hand and forearm fractures in the United States" 26 : 908-915, 2001

11 Faul F, "Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses" 41 : 1149-1160, 2009

12 Sandhu NS, "Simultaneous bilateral infraclavicular brachial plexus blocks with low-dose lidocaine using ultrasound guidance" 104 : 199-201, 2006

13 Ramalho CE, "Sedation and analgesia for procedures in the pediatric emergency room" 93 (93): 2-18, 2017

14 Chiaretti A, "Safety and efficacy of propofol administered by paediatricians during procedural sedation in children" 103 : 182-187, 2014

15 Milius EM, "Retrospective review of propofol dosing for procedural sedation in pediatric patients" 17 : 246-251, 2012

16 Ritcey B, "Regional nerve blocks for hip and femoral neck fractures in the emergency department : a systematic review" 18 : 37-47, 2016

17 Mercier E, "Prehospital trauma death review in the State of Victoria, Australia : a study protocol" 8 : e022070-, 2018

18 "Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. An updated report by the American Society of Anesthesiologists Task Force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration" 126 : 376-393, 2017

19 Salinas FV, "Peripheral nerve blocks for ambulatory surgery" 32 : 341-355, 2014

20 Bowman EN, "Nonoperative treatment of both-bone forearm shaft fractures in children : predictors of early radiographic failure" 31 : 23-32, 2011

21 Chin KJ, "Infraclavicular brachial plexus block for regional anaesthesia of the lower arm" (8) : CD005487-, 2013

22 Sandhu NS, "Feasibility of an infraclavicular block with a reduced volume of lidocaine with sonographic guidance" 25 : 51-56, 2006

23 Green SM, "Fasting is a consideration--not a necessity--for emergency department procedural sedation and analgesia" 42 : 647-650, 2003

24 Hinkelbein J, "European Society of Anaesthesiology and European Board of Anaesthesiology guidelines for procedural sedation and analgesia in adults" 35 : 6-24, 2018

25 MacIntyre NJ, "Epidemiology of distal radius fractures and factors predicting risk and prognosis" 29 : 136-145, 2016

26 Miguez Navarro C, "Efficacy, safety and satisfaction of sedation-analgesia in Spanish emergency departments" 90 : 32-41, 2019

27 Fleischman RJ, "Effectiveness and safety of fentanyl compared with morphine for out-of-hospital analgesia" 14 : 167-175, 2010

28 Godambe SA, "Comparison of propofol/fentanyl versus ketamine/midazolam for brief orthopedic procedural sedation in a pediatric emergency department" 112 (112): 116-123, 2003

29 Celis-Rodriguez E, "Clinical practice guidelines for evidence-based management of sedoanalgesia in critically ill adult patients" 37 : 519-574, 2013

30 Godwin SA, "Clinical policy : procedural sedation and analgesia in the emergency department" 63 : 247-258, 2014

31 Guay J, "Adverse events associated with intravenous regional anesthesia(Bier block) : a systematic review of complications" 21 : 585-594, 2009