Okur O M, Şener A, Kavakli H Ş, Çelik G K, Doğan N Ö, Içme F, Günaydin G P
Department of Emergency Medicine, Sivas State Hospital, Sivas, Turkey.
Department of Emergency Medicine, Atatürk Training And Research Hospital, Bilkent, Ankara, Turkey.
Eur J Trauma Emerg Surg. 2017 Dec;43(6):863-868. doi: 10.1007/s00068-016-0727-9. Epub 2016 Oct 5.
We aimed to compare two digital nerve block techniques in patients due to traumatic digital lacerations.
This was a randomized-controlled study designed prospectively in the emergency department of a university-based training and research hospital. Randomization was achieved by sealed envelopes. Half of the patients were randomised to traditional (two-injection) digital nerve block technique while single-injection digital nerve block technique was applied to the other half. Score of pain due to anesthetic infiltration and suturing, onset time of total anesthesia, need for an additional rescue injection were the parameters evaluated with both groups. Epinephrin added lidocaine hydrochloride preparation was used for the anesthetic application. Visual analog scale was used for the evaluation of pain scores. Outcomes were compared by using Mann-Whitney U test and Student t-test.
Fifty emergency department patients ≥18 years requiring digital nerve block were enrolled in the study. Mean age of the patients was 33 (min-max: 19-86) and 39 (78 %) were male. No statistically significant difference was found between the two groups in terms of our main parameters; anesthesia pain score, suturing pain score, onset time of total anesthesia and rescue injection need.
Single injection volar digital nerve block technique is a suitable alternative for digital anesthesias in emergency departments.
我们旨在比较因手指创伤性撕裂伤而接受治疗的患者中两种数字神经阻滞技术。
这是一项在一家以大学为基础的培训和研究医院急诊科进行的前瞻性随机对照研究。通过密封信封实现随机分组。一半患者被随机分配至传统（两次注射）数字神经阻滞技术组，另一半则应用单次注射数字神经阻滞技术。两组均评估麻醉浸润和缝合引起的疼痛评分、全身麻醉起效时间、是否需要额外的急救注射等参数。麻醉应用采用添加肾上腺素的盐酸利多卡因制剂。使用视觉模拟量表评估疼痛评分。采用曼-惠特尼U检验和学生t检验比较结果。
50名年龄≥18岁需要进行数字神经阻滞的急诊科患者纳入研究。患者的平均年龄为33岁（最小-最大：19-86岁），男性39名（78%）。两组在主要参数方面，即麻醉疼痛评分、缝合疼痛评分、全身麻醉起效时间和急救注射需求方面，未发现统计学上的显著差异。
单次注射掌侧数字神经阻滞技术是急诊科数字麻醉的一种合适替代方法。
