Retrospective Single-Center Comparative Analysis of Ultrasound-Guided Versus Non-ultrasound-Guided Nerve Blocks in Extremity Surgeries.
complication
limb surgery
local anesthetic systemic toxicity
peripheral nerve blocks
ultrasound
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
revised:
13
04
2021
received:
28
01
2021
accepted:
02
05
2021
pubmed:
26
5
2021
medline:
16
2
2022
entrez:
25
5
2021
Statut:
ppublish
Résumé
Although ultrasound-guided peripheral nerve blocks have become increasingly popular, it is arguable at present whether ultrasound guidance is a necessary tool for peripheral nerve blocks. The purpose of this study was to assess the significance of ultrasound-guided peripheral nerve blocks in reducing complications. From January 2013 to January 2019, 17,823 patients who underwent peripheral nerve blocks with/without ultrasound guidance were reviewed, recording data on their age, sex, height, weight, American Society of Anesthesiologists, block type, operation type, operation duration, and complications. The patients were divided into 2 groups: 9372 cases with ultrasound guidance (US Group) and 8451 cases without ultrasound guidance (No-US Group). To control selection bias, a total of 16,236 patients were finally included in this study after 1:1 propensity score matching, including 8118 cases in the US Group and 8118 cases in the No-US Group. Outcome measures included local anesthetic systemic toxicity (LAST), nerve injury, incomplete block anesthesia (IBA), local hematoma, and infection at the block site. Baseline characteristics of patients were similar between the two groups (P >.05, respectively). Our study revealed that the incidence of infection was similar between the two groups (P >.05). However, the incidences of LAST, nerve injury, IBA, and local hematoma in the US Group were significantly lower than those in the No-US Group (P <.05, respectively). Our findings suggest that ultrasound-guided peripheral nerve blocks are associated with fewer complications and higher success rates, compared with the paresthesia approach.
Substances chimiques
Anesthetics, Local
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
663-670Informations de copyright
© 2021 American Institute of Ultrasound in Medicine.
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