Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 16436,
    "title": "Block Time: A Multispecialty Systematic Review of Efficacy and Safety of Ultrasound-guided Upper Extremity Nerve Blocks",
    "subtitle": null,
    "abstract": "Introduction: \nUltrasound-guided peripheral nerve blockade is a common pain management strategy to decrease perioperative pain and opioid/general anesthetic use. In this article our goal was to systematically review publications supporting upper extremity nerve blocks distal to the brachial plexus.We assessed the efficacy and safety of median, ulnar, radial, suprascapular, and axillary nerve blocks by reviewing previous studies.\nMethods: \nWe searched MEDLINE and Embase databases to capture studies investigating these nerve blocks across all specialties. We screened titles and abstracts according to agreed-upon inclusion/exclusion criteria. We then conducted a hand search of references to identify studies not found in the initial search strategy.\nResults: \nWe included 20 studies with1,273 enrolled patients in qualitative analysis. Both anesthesiology (12, 60%) and emergency medicine (5, 25%) specialties have evidence of safe and effective use of radial, ulnar, median, suprascapular, and axillary blocks for numerous clinical applications. Recently, multiple randomized controlled trials show suprascapular nerve blocks may result in lower pain scores in patients with shoulder dislocations and rotator cuff injuries, as well as in patients undergoing anesthesia for shoulder surgery.\nConclusion:\n Distal upper extremity nerve blocks under ultrasound guidance may be safe, practical strategies for both acute and chronic pain in perioperative,emergent, and outpatient settings. These blocks provide accessible, opioid-sparing pain management, and their use across multiple specialties may be expanded with increased procedural education of trainees.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ultrasonography"
        },
        {
            "word": "anesthesia"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "regional anesthesia"
        },
        {
            "word": "Nerve Blocks"
        },
        {
            "word": "upper extremity"
        }
    ],
    "section": "Technology in Emergency Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6464x26q",
    "frozenauthors": [
        {
            "first_name": "Campbell",
            "middle_name": "Belisle",
            "last_name": "Haley",
            "name_suffix": "",
            "institution": "University of California, Irvine",
            "department": "None"
        },
        {
            "first_name": "Andrew",
            "middle_name": "R.",
            "last_name": "Beauchesne",
            "name_suffix": "",
            "institution": "Beth Israel Deaconess Medical Center, Department of Radiology, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "Christian",
            "last_name": "Fox",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Ariana",
            "middle_name": "M.",
            "last_name": "Nelson",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Anesthesiology, Orange, California",
            "department": "None"
        }
    ],
    "date_submitted": "2022-01-11T03:59:12Z",
    "date_accepted": "2022-01-11T03:59:12Z",
    "date_published": "2023-06-30T21:25:41Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16436/galley/8317/download/"
        }
    ]
}