Case Control Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2137-2143
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2137
Clinical application of ultrasound-guided selective proximal and distal brachial plexus block in rapid rehabilitation surgery for hand trauma
Jin Zhang, Man Li, Hai-Bin Jia, Lan Zhang
Jin Zhang, Man Li, Hai-Bin Jia, Lan Zhang, Department of Anesthesiology, Sichuan Orthopedic Hospital, Chengdu 610041, Sichuan Province, China
Author contributions: Zhang J, Li M, Jia HB, and Zhang L contributed equally to the design of the manuscript and data analysis; all authors contributed to the writing and revising of the manuscript.
Institutional review board statement: The study was approved by the Ethics Committee of Sichuan Orthopedic Hospital.
Informed consent statement: All patients gave informed consent to this study.
Conflict-of-interest statement: The authors state that no conflict of interest exists.
Data sharing statement: No additional data available.
STROBE statement: The manuscript has been prepared and revised according to the STROBE statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jin Zhang, MD, Doctor, Department of Anesthesiology, Sichuan Orthopedic Hospital, No. 132, First Ring Road West First Section, Chengdu 610041, Sichuan Province, China. zhangjin987654@126.com
Received: March 29, 2020
Peer-review started: March 29, 2020
First decision: April 22, 2020
Revised: May 11, 2020
Accepted: May 13, 2020
Article in press: May 13, 2020
Published online: June 6, 2020
Processing time: 70 Days and 22.7 Hours
ARTICLE HIGHLIGHTS
Research background

Hand surgery procedures are complex and challenging for they may involve many nerves. To modify the anesthesia efficacy, ultrasound-guided regional anesthesia is always applied in the surgery in this population. The published outcome data on usage of ultrasound-guided selective proximal and distal brachial plexus block in patients undergoing surgery for hand trauma is limited.

Research motivation

What benefits does ultrasound-guided selective proximal and distal brachial plexus block have in rapid recovery surgery for hand trauma? Does it really improve the anesthesia efficacy as well as reduce the potential side effects and complications? With these questions, a case-controlled study was conducted.

Research objectives

In this study, the authors aimed to explore the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in rapid recovery surgery for hand trauma.

Research methods

Patients with traumatic hand injuries who required surgery were included. They were assigned to an ultrasound-guided selective proximal and distal brachial plexus block group and a conventional brachial plexus block group. The anesthesia efficacy, pain, and outcomes were compared.

Research results

Patients with ultrasound-guided selective proximal and distal brachial plexus block showed better analgesic efficacy than the control group. Moreover, the incidence of complications, wound healing time, and length of hospital stay were lower in the observation group than in the control group.

Research conclusions

Ultrasound-guided selective proximal and distal brachial plexus block used in this study confirmed the quality and safety of anesthesia and reduced the risk of incomplete anesthesia and pain in patients undergoing surgery for hand trauma.

Research perspectives

To achieve safe anesthesia, patients should be closely monitored and observed when ultrasound-guided selective proximal and distal brachial plexus block was performed. Associated guidelines and expert consensus should be developed based on the clinical experience to avoid the negative side effects of this form of local anesthesia.