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Article: Infraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial
Title | Infraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial |
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Authors | |
Keywords | General anesthesia Regional anesthesia Distal radial fracture fixation Postoperative pain Infraclavicular nerve block |
Issue Date | 2020 |
Publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcanesthesiol/ |
Citation | BMC Anesthesiology, 2020, v. 20, p. article no. 130 How to Cite? |
Abstract | Background
It is unclear whether regional anesthesia with infraclavicular nerve block or general anesthesia provides better postoperative analgesia after distal radial fracture fixation, especially when combined with regular postoperative analgesic medications. The aim of this study was to compare the postoperative analgesic effects of regional versus general anesthesia.
Methods
In this prospective, observer blinded, randomized controlled trial, 52 patients undergoing distal radial fracture fixation received either general anesthesia (n = 26) or regional anesthesia (infraclavicular nerve block, n = 26). Numerical rating scale pain scores, analgesic consumption, patient satisfaction, adverse effects, upper limb functional scores (Patient-Rated Wrist Evaluation, QuickDASH), health related quality of life (SF12v2), and psychological status were evaluated after surgery.
Result
Regional anesthesia was associated with significantly lower pain scores both at rest and with movement on arrival to the post-anesthetic care unit; and at 1, 2, 24 and 48 h after surgery (p ≤ 0.001 at rest and with movement). Morphine consumption in the post-anesthetic care unit was significantly lower in the regional anesthesia group (p<0.001). There were no differences in oral analgesic consumption. Regional anesthesia was associated with lower incidences of nausea (p = 0.004), and vomiting (p = 0.050). Patient satisfaction was higher in the regional anesthesia group (p = 0.003). There were no long-term differences in pain scores and other patient outcomes.
Conclusion
Regional anesthesia with ultrasound guided infraclavicular nerve block was associated with better acute pain relief after distal radial fracture fixation, and may be preferred over general anesthesia.
Trial registration
Before subject enrollment, the study was registered at ClinicalTrials.gov (NCT03048214) on 9th February 2017. |
Persistent Identifier | http://hdl.handle.net/10722/282879 |
ISSN | 2023 Impact Factor: 2.3 2023 SCImago Journal Rankings: 0.658 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Wong, SS | - |
dc.contributor.author | Chan, WS | - |
dc.contributor.author | Fang, C | - |
dc.contributor.author | Chan, CW | - |
dc.contributor.author | Lau, TW | - |
dc.contributor.author | Leung, F | - |
dc.contributor.author | Cheung, CW | - |
dc.date.accessioned | 2020-06-05T06:22:38Z | - |
dc.date.available | 2020-06-05T06:22:38Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | BMC Anesthesiology, 2020, v. 20, p. article no. 130 | - |
dc.identifier.issn | 1471-2253 | - |
dc.identifier.uri | http://hdl.handle.net/10722/282879 | - |
dc.description.abstract | Background It is unclear whether regional anesthesia with infraclavicular nerve block or general anesthesia provides better postoperative analgesia after distal radial fracture fixation, especially when combined with regular postoperative analgesic medications. The aim of this study was to compare the postoperative analgesic effects of regional versus general anesthesia. Methods In this prospective, observer blinded, randomized controlled trial, 52 patients undergoing distal radial fracture fixation received either general anesthesia (n = 26) or regional anesthesia (infraclavicular nerve block, n = 26). Numerical rating scale pain scores, analgesic consumption, patient satisfaction, adverse effects, upper limb functional scores (Patient-Rated Wrist Evaluation, QuickDASH), health related quality of life (SF12v2), and psychological status were evaluated after surgery. Result Regional anesthesia was associated with significantly lower pain scores both at rest and with movement on arrival to the post-anesthetic care unit; and at 1, 2, 24 and 48 h after surgery (p ≤ 0.001 at rest and with movement). Morphine consumption in the post-anesthetic care unit was significantly lower in the regional anesthesia group (p<0.001). There were no differences in oral analgesic consumption. Regional anesthesia was associated with lower incidences of nausea (p = 0.004), and vomiting (p = 0.050). Patient satisfaction was higher in the regional anesthesia group (p = 0.003). There were no long-term differences in pain scores and other patient outcomes. Conclusion Regional anesthesia with ultrasound guided infraclavicular nerve block was associated with better acute pain relief after distal radial fracture fixation, and may be preferred over general anesthesia. Trial registration Before subject enrollment, the study was registered at ClinicalTrials.gov (NCT03048214) on 9th February 2017. | - |
dc.language | eng | - |
dc.publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcanesthesiol/ | - |
dc.relation.ispartof | BMC Anesthesiology | - |
dc.rights | BMC Anesthesiology. Copyright © BioMed Central Ltd. | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | General anesthesia | - |
dc.subject | Regional anesthesia | - |
dc.subject | Distal radial fracture fixation | - |
dc.subject | Postoperative pain | - |
dc.subject | Infraclavicular nerve block | - |
dc.title | Infraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial | - |
dc.type | Article | - |
dc.identifier.email | Wong, SS: wongstan@hku.hk | - |
dc.identifier.email | Chan, WS: wshing@hku.hk | - |
dc.identifier.email | Fang, C: cfang@hku.hk | - |
dc.identifier.email | Leung, F: klleunga@hkucc.hku.hk | - |
dc.identifier.email | Cheung, CW: cheucw@hku.hk | - |
dc.identifier.authority | Wong, SS=rp01789 | - |
dc.identifier.authority | Fang, C=rp02016 | - |
dc.identifier.authority | Leung, F=rp00297 | - |
dc.identifier.authority | Cheung, CW=rp00244 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1186/s12871-020-01044-4 | - |
dc.identifier.pmid | 32466746 | - |
dc.identifier.pmcid | PMC7254671 | - |
dc.identifier.scopus | eid_2-s2.0-85085636134 | - |
dc.identifier.hkuros | 310234 | - |
dc.identifier.volume | 20 | - |
dc.identifier.spage | article no. 130 | - |
dc.identifier.epage | article no. 130 | - |
dc.identifier.isi | WOS:000538094000002 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1471-2253 | - |