Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
Nervous breakdown! A registry of nerve blocks from a South African emergency centre
Dublin Core
Title
Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
Nervous breakdown! A registry of nerve blocks from a South African emergency centre
African Journal of Emergency Medicine
Nervous breakdown! A registry of nerve blocks from a South African emergency centre
Subject
Nerve blocks
Pain
Emergency centre
Emergency department
Regional anaesthesia
Pain
Emergency centre
Emergency department
Regional anaesthesia
Description
Introduction: Nerve blocks are commonplace in the operating theatre and have recently made their way into
emergency centres as a viable alternative to traditional methods of analgesia. Their use and safety has been
documented for a variety of pathologies and it has been shown that they spare opioids and shorten time to
discharge. No data exists on their use in South Africa. The purpose of this study was to analyse data from an
existing nerve block registry from an emergency centre in South Africa.
Methods: The study was a retrospective, descriptive analysis of a nerve block registry from an academic emer-
gency centre in Johannesburg, South Africa from May 2016 to September 2017.
Results: There were 168 nerve blocks performed by 36 different operators of varying experience. The most
common indication was for fracture management and the most frequently performed blocks were femoral 3-in-1
(44.6%), pop-sciatic (16.7%) and forearm-ultrasound nerve blocks (16.7%). Ultrasound guidance was used in
88.6% of the blocks. The average time taken to perform a nerve block was 10 min. The success rate was 91.8%.
None of the variables analysed (i.e., operator experience, type of nerve block performed, time taken to perform
the nerve block, ultrasound guidance, amount of anaesthetic used and time taken to evaluate outcome) had any
effect on the success rate.
Conclusion: This study illustrates the use of nerve blocks as an effective, safe and timeous analgesic solution to a
wide variety of musculoskeletal injuries in an academic emergency centre in South Africa.
emergency centres as a viable alternative to traditional methods of analgesia. Their use and safety has been
documented for a variety of pathologies and it has been shown that they spare opioids and shorten time to
discharge. No data exists on their use in South Africa. The purpose of this study was to analyse data from an
existing nerve block registry from an emergency centre in South Africa.
Methods: The study was a retrospective, descriptive analysis of a nerve block registry from an academic emer-
gency centre in Johannesburg, South Africa from May 2016 to September 2017.
Results: There were 168 nerve blocks performed by 36 different operators of varying experience. The most
common indication was for fracture management and the most frequently performed blocks were femoral 3-in-1
(44.6%), pop-sciatic (16.7%) and forearm-ultrasound nerve blocks (16.7%). Ultrasound guidance was used in
88.6% of the blocks. The average time taken to perform a nerve block was 10 min. The success rate was 91.8%.
None of the variables analysed (i.e., operator experience, type of nerve block performed, time taken to perform
the nerve block, ultrasound guidance, amount of anaesthetic used and time taken to evaluate outcome) had any
effect on the success rate.
Conclusion: This study illustrates the use of nerve blocks as an effective, safe and timeous analgesic solution to a
wide variety of musculoskeletal injuries in an academic emergency centre in South Africa.
Creator
Jenna Snyman, Lara Nicole Goldstein
Source
https://doi.org/10.1016/j.afjem.2019.05.006
Date
30 May 2019
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Jenna Snyman, Lara Nicole Goldstein, “Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
Nervous breakdown! A registry of nerve blocks from a South African emergency centre,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1790.
African Journal of Emergency Medicine
Nervous breakdown! A registry of nerve blocks from a South African emergency centre,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1790.