EFFECTIVENESS OF WRIST BLOCK FOR SURGERY OF FRACTURE PROXIMAL INTERPHALANGEAL JOINT: A CASE REPORT
DOI:
https://doi.org/10.22159/ajpcr.2024v17i7.51486Keywords:
Interphalangeal joint fracture, Ultrasound-guided, Distal peripheral nerve block, Motor functionsAbstract
For upper extremity surgery involving wrist and hand, ultrasound (US) guide distal nerve block produces sufficient anesthesia with patient satisfaction. Here, we report a case study of adult with a proximal interphalangeal joint fracture and planned for US-guided wrist block involving media and ulnar using 0.5% bupivacaine + 2% lidocaine. Patient had maintenance of motor function with no complication of nerve injury. Wrist distal block produces safe anesthesia and effective patient satisfaction.
Downloads
References
Blazar PE, Steinberg DR. Fractures of the proximal interphalangeal joint. J Am Acad Orthop Surg. 2000;8(6):383-90. doi: 10.5435/00124635- 200011000-00006, PMID: 11104402
Kolovich GP, Heifner JJ. Proximal interphalangeal joint dislocations and fracture-dislocations. J Hand Surg. 2023;48(2 Suppl):27S-34S. doi: 10.1177/17531934231183259, PMID 37704028
Demino C, Yates M, Fowler JR. Surgical management of proximal interphalangeal joint fracture-dislocations: A review of outcomes. Hand (N Y). 2021;16(4):453-60. doi: 10.1177/1558944719873152, PMID: 31517516
Snaith R, Dolan J. Ultrasound-guided peripheral upper limb nerve blocks for day-case surgery. Contin Educ Anaesth Crit Care Pain. 2011;11(5):172-6. doi: 10.1093/bjaceaccp/mkr0295. Roy M, Nadeau MJ, Côté D, Levesque S, Dion N, Nicole PC, et al. Comparison of a single-or double-injection technique for ultrasound-guided supraclavicular block: A prospective, randomized, blinded controlled study. Reg Anesth Pain Med. 2012;37(1):55-9. doi: 10.1097/ AAP.0b013e3182367b97, PMID: 22030724
Fredrickson MJ, Smith KR, Wong AC. Importance of volume and concentration for ropivacaine interscalene block in preventing recovery room pain and minimizing motor block after shoulder surgery. Anesthesiology. 2010;112(6):1374-81. doi: 10.1097/ ALN.0b013e3181d6929d, PMID: 20460999
Fredrickson MJ, Ting FS, Chinchanwala S, Boland MR. Concomitant infraclavicular plus distal median, radial, and ulnar nerve blockade accelerates upper extremity anaesthesia and improves block consistency compared with infraclavicular block alone. Br J Anaesth. 2011;107(2):236-42. doi: 10.1093/bja/aer101, PMID: 21576095
Fredrickson MJ, Wolstencroft PJ, Chinchanwala S, Boland MR. Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded trial. Br J Anaesth. 2012;109(5):809-15. doi: 10.1093/ bja/aes266, PMID: 22864520
Sehmbi H, Madjdpour C, Shah UJ, Chin KJ. Ultrasound guided distal peripheral nerve block of the upper limb: A technical review. J Anaesthesiol Clin Pharmacol. 2015;31(3):296-307. doi: 10.4103/0970- 9185.161654, PMID: 26330706
Ince I, Aksoy M, Celik M. Can we perform distal nerve block instead of brachial plexus nerve block under ultrasound guidance for hand surgery? Eurasian J Med. 20172016;48(3):167-71. doi: 10.5152/ eurasianjmed.2016.0256, PMID: 28149139
Soberón JR, Bhatt NR, Nossaman BD, Duncan SF, Patterson ME, Sisco- Wise LE. Distal peripheral nerve blockade for patients undergoing hand surgery: A pilot study. Hand (N Y). 2015;10(2):197-204. doi: 10.1007/ s11552-014-9680-4, PMID: 26034430
Delaunay L, Chelly JE. Blocks at the wrist provide effective anesthesia for carpal tunnel release. Can J Anaesth. 2001;48(7):656-60. doi: 10.1007/BF03016199, PMID: 11495872
Published
How to Cite
Issue
Section
Copyright (c) 2024 Shivika Nath, Priya Sikka
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.
