Feasibility and initial experience with continuous nerve blocks by emergency physicians
The American Journal of Emergency Medicine Feb 27, 2020
Martel ML, et al. - In this retrospective, observational cohort study, researchers reported on the feasibility and initial experience of emergency physicians initiating and managing continuous nerve blocks for trauma patients. This study was conducted on convenience sample of patients 18 years or older presenting with either rib or hip fractures between August 15, 2016, and January 15, 2019. During the study period, 41 patients [mean age was 65.9 years] presented with rib or hip fractures and received a nerve block catheter and a continuous infusion pump. Accidental dislodgement of the catheter was the most common complication. No patient developed a pneumothorax, hemothorax, catheter-related infection, or hematoma. Initiating and managing the continuous nerve blockade for acute hip and rib fractures is feasible and efficient for emergency physicians. Continuous nerve blockade can allow patients with trauma to diminish their opioid use significantly.
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