axillary nerve block in comparison with intravenous midazolam/fentanyl for painless reduction of upper extremity fractures.
نویسندگان
چکیده
the painful nature of fractures has made it inevitable to use various anesthetic techniques to reduce or immobilize fractured parts. in the present study, axillary nerve block was compared with intravenous midazolam/fentanyl to induce anesthesia for painless reduction of upper extremity fractures. the subjects in the present clinical trial consisted of 60 patients with upper extremity fractures. they were randomly divided into two equal groups of intravenous sedation (ivs) with midazolam/fentanyl and axillary nerve block (anb). rate of anesthesia induction, recovery time, and pain intensities at baseline, during the procedure and at the end of the procedure were recorded in both groups. data was analyzed and compared between the two groups with spss 18 statistical software using appropriate tests. demographic data, vital signs and means of pain intensities at the beginning of the procedure were equal in the two groups. in the ivs group, the overall duration of the procedure was shorter with more rapid onset of anesthesia (p<0.05). in contrast, the recovery time was much shorter in the anb group (p<0.001). no life or organ threatening complications were observed in the two groups. axillary nerve block can be considered an appropriate substitute for intravenous sedation in painful procedures of the upper extremity.
منابع مشابه
Nerve Stimulator Guided Axillary Block in Painless Reduction of Distal Radius Fractures; a Randomized Clinical Trial
INTRODUCTION Given the high prevalence of upper extremity fractures and increasing need to perform painless reduction in the emergency departments, the use of analgesic methods with fewer complications and more satisfaction appears to be essential. The aim of this study is comparison the nerve stimulator guided axillary block (NSAB) with intravenous sedation in induction of analgesia for painle...
متن کاملcomparison of endotracheal intubation with nerve block and intravenous injection
Introduction: As endotracheal intubation is the first action which must be done for serious and very ill patients , so any procrastination leads to dangerous consequences including aspiration and finally death. Routine method for endotracheal intubation is injection of intravascular diazepam- Pethidine and sometimes muscle relaxants , but these drugs in Patients with GCS under 7 cause more decr...
متن کاملPediatric upper-extremity fractures.
Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The physician needs to maintain a high level of suspicion for growth plate injuri...
متن کاملImportance of the Upper Extremity Position for a Safe and Effective Axillary Block: a Comparative Study.
OBJECTIVE Our aim was to determine the ideal position of upper extremities during ultrasonography guidance for axillary block. The position that provides the shortest distance between the median and musculocutaneous nerves was assumed to be the most appropriate position for axillary block. METHODS In this cross-sectional study, 120 (45 female and 75 male) patients were placed in a position wi...
متن کاملUpper Extremity Peripheral Nerve Anatomy
7 The nerve anatomy of the upper extremity is studied constantly through surgical findings, electrodiagnostic studies, and cadaveric dissections. Although it is recognized that the anatomy is not changing rapidly, knowledge of the anatomic relationships and their significance is increasing. The purpose of the current study is to provide a comprehensive analysis of the nerve anatomy of the upper...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
acta medica iranicaجلد ۵۲، شماره ۲، صفحات ۱۲۲-۱۲۴
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023