One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis
Aim:To demonstrate the efficacy of single-person bedside ultrasound guided (USG) Popliteal-Sciatic Nerve Block (PSNB) using minimal equipment in the emergency department (ED) for managing below-knee trauma.Materials and Methods:This single-centre retrospective analysis was done at the ED of a tertia...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-03-01
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| Series: | Eurasian Journal of Emergency Medicine |
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http://eajem.com/archives/archive-detail/article-preview/one-man-below-knee-analgesia-in-the-emergency-depa/58814
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| _version_ | 1827998095823077376 |
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| author | Sandeep Nathanael David Pradeep Daniel Katumalla Priya Ganesan Paul Prabhakar Abhilash Kundavaram |
| author_facet | Sandeep Nathanael David Pradeep Daniel Katumalla Priya Ganesan Paul Prabhakar Abhilash Kundavaram |
| author_sort | Sandeep Nathanael David |
| collection | DOAJ |
| description | Aim:To demonstrate the efficacy of single-person bedside ultrasound guided (USG) Popliteal-Sciatic Nerve Block (PSNB) using minimal equipment in the emergency department (ED) for managing below-knee trauma.Materials and Methods:This single-centre retrospective analysis was done at the ED of a tertiary care centre in Southern India from 01/12/2021 to 31/06/2022. The charts of all adult patients who received the block were reviewed and the reduction in pain score after the block, block success rate, and incidence of side effects were analyzed.Results:One hundred and three patient records were reviewed during the study period. Ninety-eight males (95.1%) and 5 females (4.9%) had received the block. 87.4% of the patients were road accident victims. The block was given by a single operator under ultrasound guidance with the stylet of an 18 gauge intravenous cannula mounted on a syringe filled with 1% lidocaine. The mean pain score before and 10 minutes after administering the block was 8.85 [standard deviation (SD) ±0.78] and 2.06 (SD ±1.75) respectively. The block success rate was found to be 93.2%. Except for 7 failed blocks, there were no adverse events following the procedure.Conclusion:USG PSNB is a safe, consistent, and relatively long-lasting anesthetic technique in the management of below-knee trauma in the ED. |
| first_indexed | 2024-04-10T05:38:39Z |
| format | Article |
| id | doaj.art-3ab3c743ceb5488fbfd05b21b706ebb8 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T05:38:39Z |
| publishDate | 2023-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-3ab3c743ceb5488fbfd05b21b706ebb82023-03-06T12:19:23ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482023-03-01221414810.4274/eajem.galenos.2022.3764013049054One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective AnalysisSandeep Nathanael David0Pradeep Daniel Katumalla1Priya Ganesan2Paul Prabhakar Abhilash Kundavaram3 Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India Aim:To demonstrate the efficacy of single-person bedside ultrasound guided (USG) Popliteal-Sciatic Nerve Block (PSNB) using minimal equipment in the emergency department (ED) for managing below-knee trauma.Materials and Methods:This single-centre retrospective analysis was done at the ED of a tertiary care centre in Southern India from 01/12/2021 to 31/06/2022. The charts of all adult patients who received the block were reviewed and the reduction in pain score after the block, block success rate, and incidence of side effects were analyzed.Results:One hundred and three patient records were reviewed during the study period. Ninety-eight males (95.1%) and 5 females (4.9%) had received the block. 87.4% of the patients were road accident victims. The block was given by a single operator under ultrasound guidance with the stylet of an 18 gauge intravenous cannula mounted on a syringe filled with 1% lidocaine. The mean pain score before and 10 minutes after administering the block was 8.85 [standard deviation (SD) ±0.78] and 2.06 (SD ±1.75) respectively. The block success rate was found to be 93.2%. Except for 7 failed blocks, there were no adverse events following the procedure.Conclusion:USG PSNB is a safe, consistent, and relatively long-lasting anesthetic technique in the management of below-knee trauma in the ED. http://eajem.com/archives/archive-detail/article-preview/one-man-below-knee-analgesia-in-the-emergency-depa/58814 analgesiaemergency departmentnerve blockpopliteal-sciaticultrasound |
| spellingShingle | Sandeep Nathanael David Pradeep Daniel Katumalla Priya Ganesan Paul Prabhakar Abhilash Kundavaram One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis Eurasian Journal of Emergency Medicine analgesia emergency department nerve block popliteal-sciatic ultrasound |
| title | One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis |
| title_full | One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis |
| title_fullStr | One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis |
| title_full_unstemmed | One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis |
| title_short | One-man Below-knee Analgesia in the Emergency Department with Minimal Equipment Using the Single-operAtor Nerve block under Direct ultrasound visualization in emergencY (‘SANDY’) Technique: A Retrospective Analysis |
| title_sort | one man below knee analgesia in the emergency department with minimal equipment using the single operator nerve block under direct ultrasound visualization in emergency sandy technique a retrospective analysis |
| topic | analgesia emergency department nerve block popliteal-sciatic ultrasound |
| url |
http://eajem.com/archives/archive-detail/article-preview/one-man-below-knee-analgesia-in-the-emergency-depa/58814
|
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