2019
DOI: 10.1016/j.ajem.2018.11.033
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Ultrasound-guided peripheral forearm nerve block for digit fractures in a pediatric emergency department

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Cited by 22 publications
(12 citation statements)
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“…The Association of Anesthesiologists of Great Britain and Ireland (AAGBI) recommends that opioids and NSAIDs should be used with caution in high-risk groups and that regional nerve block anesthesia may be used to minimize drug-related complications. Once a patient is diagnosed with a hip fracture [ 1 – 3 ], preoperative analgesia should be administered by an experienced anesthesiologist, usually with an iliac fascia gap block or a femoral nerve block. Iliofascial gap blocks and femoral nerve blocks can be administered by injection alone or in combination with an infusion pump for continuous analgesia, but the risk of infection is higher with the combination, with a local infection rate of 0.3% to 2%.…”
Section: Introductionmentioning
confidence: 99%
“…The Association of Anesthesiologists of Great Britain and Ireland (AAGBI) recommends that opioids and NSAIDs should be used with caution in high-risk groups and that regional nerve block anesthesia may be used to minimize drug-related complications. Once a patient is diagnosed with a hip fracture [ 1 – 3 ], preoperative analgesia should be administered by an experienced anesthesiologist, usually with an iliac fascia gap block or a femoral nerve block. Iliofascial gap blocks and femoral nerve blocks can be administered by injection alone or in combination with an infusion pump for continuous analgesia, but the risk of infection is higher with the combination, with a local infection rate of 0.3% to 2%.…”
Section: Introductionmentioning
confidence: 99%
“…Point‐of‐care ultrasound has gained popularity in pediatric emergency care due to its non‐invasiveness, portability, and rapidity in yielding clinical information. Physicians have recently begun to use POCUS not only to diagnose appendicitis and intussusception but also to visualize foreign bodies and perform central venous catheter insertion and peripheral nerve block . The present report demonstrates the new‐found utility of POCUS in detecting procedural complications, such as vessel wall calcification in pediatric patients.…”
mentioning
confidence: 65%
“…52,53 Ultrasound guidance has made peripheral nerve blocks feasible, safe, and effective in ED. 54 As a result, there have been multiple case reports, 55 case series, 56,57 observational studies series, [58][59][60] and prospective randomized controlled trials 61 using peripheral nerve blocks in both adult and pediatric EDs for various painful clinical conditions. 52,53 The addition of procedural sedation with dexmedetomidine and/or subanesthetic doses of ketamine may be useful adjuncts for the regional anesthesia procedure, especially in pediatric patients.…”
Section: Discussionmentioning
confidence: 99%