COMPARISON OF THE SUCCESS RATE OF POSTERIOR TIBIAL NERVE BLOCK IN THE ANKLEWITH AND WITHOUT ULTRASOUND GUIDANCE FOR PAIN MANAGEMENT IN EMERGENCY DEPARTMENTS
- سال انتشار: 1398
- محل انتشار: چهاردهمین کنگره سالانه طب اورژانس ایران
- کد COI اختصاصی: EMERGENCYMED14_044
- زبان مقاله: انگلیسی
- تعداد مشاهده: 389
نویسندگان
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background and Aim : Background and aims:The aim of the present study was to compare thesuccess rate of posterior tibial nerve block in the ankle with and without ultrasound guidance forpain management in emergency departments.Methods : This clinical trial was carried out on 80 patients who needed posterior tibial nerve blockin the ankle at the Emergency Department of HashemiNejad Hospital and Edalatian EmergencyCenter in Mashhad, Iran. The eligible patients were randomly assigned into two groups of control(landmark-based nerve block) and case (ultrasound-guided nerve block). The two groups werecompared in terms of the main measurable outcomes. The data were analyzed in SPSS software(version 20) using the Mann-Whitney U and Kruskal-Wallis tests.Results : According to the results, the mean and median of nerve block success in the landmarkbasedand ultrasound-guided methods were significantly different between the two groups both 15(P=0.02) and 30 (P=0.001) min post-intervention. In this regard, nerve block with ultrasoundguidance had a higher success rate, compared to that with landmark method. However, nosignificant difference was observed between the two groups in terms of the mean and median ofthe procedure duration (P=0.8) and injection frequency (P=0.4). On the other hand, the two groups were significantly different regarding the median and mean patient satisfaction (P=0.0), durationof analgesia (P=0.004), and nerve block-related complications (P=0.03).Conclusion : The findings revealed that ultrasound-guided nerve block, as a relatively newtechnique, resulted in better outcomes than the landmark-based method. Consequently, thismethod could be adopted to control acute pain in the emergency departments and improve patientcare.کلیدواژه ها
Nerve block success, Posterior tibial nerve, Ultrasoundاطلاعات بیشتر در مورد COI
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