Journal article
Ultrasound-guided nerve blocks in emergency medicine practice: 2022 updates
The American journal of emergency medicine, v 78
Apr 2024
PMID: 38244244
Abstract
Objectives: In the Emergency Department (ED), ultrasound -guided nerve blocks (UGNBs) have become a cornerstone of multimodal pain regimens. We investigated current national practices of UGNBs across academic medical center EDs, and how these trends have changed over time. Methods: We conducted a cross-sectional electronic survey of academic EDs with ultrasound fellowships across the United States. Twenty -item questionnaires exploring UGNB practice patterns, training, and complications were distributed between November 2021-June 2022. Data was manually curated, and descriptive statistics were performed. The survey results were then compared to results from Amini et al. 2016 UGNB survey to identify trends. Results: The response rate was 80.5% (87 of 108 programs). One hundred percent of responding programs perform UGNB at their institutions, with 29% (95% confidence interval (CI), 20%-39%) performing at least 5 blocks monthly. Forearm UGNB are most commonly performed (96% of programs (95% CI, 93%-100%)). Pain control for fractures is the most common indication (84%; 95% CI, 76%-91%). Eighty-five percent (95% CI, 77%-92%) of programs report at least 80% of UGNB performed are effective. Eighty-five percent (95% CI, 66%-85%) of programs have had no reported complications from UGNB performed by emergency providers at their institution. The remaining 15% (95% CI, 8%-23%) report an average of 1 complication annually. Conclusions: All programs participating in our study report performing UGNB in their ED, which is a 16% increase over the last 5 years. UGNB's are currently performed safely and effectively in the ED, however practice improvements can still be made. Creating multi -disciplinary committees at local and national levels can standardize guidelines and practice policies to optimize patient safety and outcomes. (c) 2024 Elsevier Inc. All rights reserved.
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Details
- Title
- Ultrasound-guided nerve blocks in emergency medicine practice: 2022 updates
- Creators
- Andrew J. Goldsmith (Corresponding Author) - Brigham and Women's HospitalJoseph Brown - University of Colorado Anschutz Medical CampusNicole M. Duggan - Brigham and Women's HospitalTomer Finkelberg - Drexel UniversityNick Jowkar - University of VermontJoseph Stegeman - Alameda Health SystemMatthew Riscinti - University of Colorado DenverArun Nagdev - Highland HospitalRichard Amini - University of Arizona
- Publication Details
- The American journal of emergency medicine, v 78
- Publisher
- W B SAUNDERS CO-ELSEVIER INC; PHILADELPHIA
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:001166672100001
- Scopus ID
- 2-s2.0-85184748580
- Other Identifier
- 991021861179504721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine