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Article: Infraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial

TitleInfraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial
Authors
KeywordsGeneral anesthesia
Regional anesthesia
Distal radial fracture fixation
Postoperative pain
Infraclavicular nerve block
Issue Date2020
PublisherBioMed 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?
AbstractBackground 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 Identifierhttp://hdl.handle.net/10722/282879
ISSN
2020 Impact Factor: 2.217
2015 SCImago Journal Rankings: 0.655
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, SS-
dc.contributor.authorChan, WS-
dc.contributor.authorFang, C-
dc.contributor.authorChan, CW-
dc.contributor.authorLau, TW-
dc.contributor.authorLeung, F-
dc.contributor.authorCheung, CW-
dc.date.accessioned2020-06-05T06:22:38Z-
dc.date.available2020-06-05T06:22:38Z-
dc.date.issued2020-
dc.identifier.citationBMC Anesthesiology, 2020, v. 20, p. article no. 130-
dc.identifier.issn1471-2253-
dc.identifier.urihttp://hdl.handle.net/10722/282879-
dc.description.abstractBackground 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.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcanesthesiol/-
dc.relation.ispartofBMC Anesthesiology-
dc.rightsBMC Anesthesiology. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectGeneral anesthesia-
dc.subjectRegional anesthesia-
dc.subjectDistal radial fracture fixation-
dc.subjectPostoperative pain-
dc.subjectInfraclavicular nerve block-
dc.titleInfraclavicular Nerve Block Reduces Postoperative Pain After Distal Radial Fracture Fixation: A Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailWong, SS: wongstan@hku.hk-
dc.identifier.emailChan, WS: wshing@hku.hk-
dc.identifier.emailFang, C: cfang@hku.hk-
dc.identifier.emailLeung, F: klleunga@hkucc.hku.hk-
dc.identifier.emailCheung, CW: cheucw@hku.hk-
dc.identifier.authorityWong, SS=rp01789-
dc.identifier.authorityFang, C=rp02016-
dc.identifier.authorityLeung, F=rp00297-
dc.identifier.authorityCheung, CW=rp00244-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12871-020-01044-4-
dc.identifier.pmid32466746-
dc.identifier.pmcidPMC7254671-
dc.identifier.scopuseid_2-s2.0-85085636134-
dc.identifier.hkuros310234-
dc.identifier.volume20-
dc.identifier.spagearticle no. 130-
dc.identifier.epagearticle no. 130-
dc.identifier.isiWOS:000538094000002-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1471-2253-

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