TY - JOUR
T1 - Safety and effectiveness of ultrasound guided peripheral nerve blocks
T2 - Audit at tertiary care hospital
AU - Salam, Asma Abdus
AU - Aamir, Riffat
AU - Khan, Robyna Irshad
AU - Ahmed, Aliya
AU - Rehman, Azhar
N1 - Publisher Copyright:
© 2021 Pakistan Medical Association. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - Objective: To assess the safety and effectiveness of peripheral nerve blocks using ultrasound. Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised data of all patients who received peripheral nerve blocks as part of anaesthesia care between January 2015 and January 2017. The data included outcomes of peripheral nerve block effectiveness, complications and limb conditions after the block. Peripheral nerve block effectiveness was assessed by monitoring pain scores at rest and on movement, and the requirement of co-analgesia. Complications, like numbness, motor block, metallic taste, hypotension and respiratory depression, were also assessed. Data was analysed using SPSS 19. Results: There were 299 patients who received ultrasound-guided peripheral nerve blocks. The overall mean age was 44.57±16.64 years. Of the total, 140 (47%) received transversus abdominis plane block, followed by supraclavicular block 49(16.7%). The most common complication in the recovery room was numbness 19 (6.2%). Overall, 70% patients remained pain-free, while 16% had moderate pain on movement 12 hours postoperatively. Conclusion: Ultrasound-guided regional anaesthesia was found to provide effective analgesia during and after surgery. Nerve blocks proved to be safe when used with ultrasound.
AB - Objective: To assess the safety and effectiveness of peripheral nerve blocks using ultrasound. Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised data of all patients who received peripheral nerve blocks as part of anaesthesia care between January 2015 and January 2017. The data included outcomes of peripheral nerve block effectiveness, complications and limb conditions after the block. Peripheral nerve block effectiveness was assessed by monitoring pain scores at rest and on movement, and the requirement of co-analgesia. Complications, like numbness, motor block, metallic taste, hypotension and respiratory depression, were also assessed. Data was analysed using SPSS 19. Results: There were 299 patients who received ultrasound-guided peripheral nerve blocks. The overall mean age was 44.57±16.64 years. Of the total, 140 (47%) received transversus abdominis plane block, followed by supraclavicular block 49(16.7%). The most common complication in the recovery room was numbness 19 (6.2%). Overall, 70% patients remained pain-free, while 16% had moderate pain on movement 12 hours postoperatively. Conclusion: Ultrasound-guided regional anaesthesia was found to provide effective analgesia during and after surgery. Nerve blocks proved to be safe when used with ultrasound.
KW - Peripheral nerve blocks
KW - Regional anaesthesia
KW - Ultrasound-guided blocks
UR - http://www.scopus.com/inward/record.url?scp=85108048839&partnerID=8YFLogxK
U2 - 10.47391/JPMA.447
DO - 10.47391/JPMA.447
M3 - Article
C2 - 34111085
AN - SCOPUS:85108048839
SN - 0030-9982
VL - 71
SP - 1623
EP - 1626
JO - Journal of the Pakistan Medical Association
JF - Journal of the Pakistan Medical Association
IS - 6
ER -