Key result
Ultrasound-guided peripheral nerve blocks provided significant pain control and muscle relaxation in all 8 patients, with only 2 requiring any additional anesthesia.
Why the study?
Do ultrasound-guided peripheral nerve blocks provide adequate pain control for painful procedures in emergency department patients?
Case Report (n=8)
No
Do ultrasound-guided peripheral nerve blocks provide adequate pain control for painful procedures in emergency department patients?
Ultrasound-guided peripheral nerve blocks are a feasible and effective alternative to procedural sedation for managing pain during emergency department procedures.
May support ED procedural analgesia; hypothesis-generating and should not change practice without RCTs.
Peripheral nerve blocks preclude the need for procedural sedation and provide adequate anesthesia during painful procedures. This technique can be performed in the emergency department with the aid of ultrasound imaging to identify target nerves. We describe eight cases of upper and lower extremity nerve blocks performed under ultrasound guidance in the emergency department of the Jai Prakash Narayan Trauma Centre, All India Institute of Medical Sciences, New Delhi. Only two of the patients, both with extensive injuries, required any additional anesthesia during the subsequent procedures and all of them reported significant pain control and muscle relaxation.
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Chandra et al. (2010) conducted a case report in Painful injuries requiring procedural anesthesia in the emergency department (n=8). Ultrasound-guided peripheral nerve blocks was evaluated on Adequacy of anesthesia and need for additional procedural sedation. Ultrasound-guided peripheral nerve blocks provided significant pain control and muscle relaxation in all 8 patients, with only 2 requiring any additional anesthesia.
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