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

2021 ◽  
Vol 8 (4) ◽  
pp. 307-313
Author(s):  
Erdal Tekin ◽  
Muhammed Enes Aydin ◽  
Mehmet Cenk Turgut ◽  
Selahattin Karagoz ◽  
Irem Ates ◽  
...  

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<0.001). Patient and operator satisfaction levels were significantly higher in Group IB (P<0.001). Oxygen desaturation was statistically higher in Group PSA than in Group IB (40.00% vs. 3.33%, respectively; P=0.002).Conclusion IB was an effective alternative for reducing pain and increasing patient satisfaction in ED patients undergoing forearm fracture reduction.

2003 ◽  
Vol 80 ◽  
pp. 122 ◽  
Author(s):  
Ariel Weissman ◽  
Jacob Farhi ◽  
Zohar Steinfeld ◽  
Ravit Mutsafi ◽  
Hana Nahum ◽  
...  

Urolithiasis ◽  
2018 ◽  
Vol 48 (3) ◽  
pp. 235-244 ◽  
Author(s):  
Ahmet Murat Yayik ◽  
Ali Ahiskalioglu ◽  
Saban Oguz Demirdogen ◽  
Elif Oral Ahiskalioglu ◽  
Haci Ahmet Alici ◽  
...  

2013 ◽  
Vol 39 (11) ◽  
pp. 1938-1944 ◽  
Author(s):  
Norair Airapetian ◽  
Julien Maizel ◽  
François Langelle ◽  
Santhi Samy Modeliar ◽  
Dimitrios Karakitsos ◽  
...  

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