Ultrasound-guided regional anesthesia (UGRA) in the emergency department: a scoping review.

IF 1.4 Q4 CLINICAL NEUROLOGY

Pain management Pub Date : 2024-10-01 Epub Date: 2024-11-24 DOI:10.1080/17581869.2024.2431474

Syed Mohammad J Mahmood, Nikhil B Bhana, Clarence Kong, Nik Theyyunni, William J Schaeffer, Charles W Kropf, Nicole T Klekowski, Brendan W Munzer, Zachary B Rotter, Ashley E Hall, Jonathan D Porath, William J Peterson, Ryan V Tucker

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引用次数: 0

Abstract

Introduction: While many studies have been published on Ultrasound-guided regional anesthesia in the Emergency Department (ED), there has been no previous study assessing the current state of the literature based in the form of a scoping review.

Objective: The purpose of this study is to evaluate the current state of the literature on UGRA performed in the ED setting.

Methods: EMBASE, MEDLINE, CINAHL, and Cochrane databases were searched for studies. Following PRISMA-ScR guidelines (Figure 1), two reviewers evaluated each title and abstract and were included if they described a UGRA technique performed on patients in the ED by an ED provider. Cohen's kappa coefficients were calculated for each level of review.[Figure: see text].

Results: Of the 1,456 abstracts, a total of 53 articles were included in the analysis, of which 28 (52.8%) were case series and 11 (20.8%) were randomized control trials (RCTs). The most common types of nerve block represented in these studies were femoral nerve/fascia iliaca (14), brachial plexus (7), and forearm (radial, ulnar, median nerves) (7). 47 of the 53 articles were published in or after the year 2010.

Conclusion: Current literature supporting UGRA use in the ED is growing but unbalanced, requiring large population studies to demonstrate safety and efficacy of these techniques.

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急诊科超声引导区域麻醉 (UGRA)：范围综述。

简介：虽然已经发表了许多关于急诊科（ED）超声引导区域麻醉的研究，但此前还没有以范围综述的形式对文献现状进行评估的研究：本研究旨在评估在急诊科环境下进行 UGRA 的文献现状：方法：检索 EMBASE、MEDLINE、CINAHL 和 Cochrane 数据库中的相关研究。按照 PRISMA-ScR 指南（图 1），两名审稿人对每篇标题和摘要进行评估，如果其中描述了急诊室医疗人员在急诊室对患者实施的 UGRA 技术，则将其纳入。每级评审均计算了科恩卡帕系数（Cohen's kappa coefficient）：在 1,456 篇摘要中，共有 53 篇文章被纳入分析，其中 28 篇（52.8%）为病例系列，11 篇（20.8%）为随机对照试验（RCT）。这些研究中最常见的神经阻滞类型包括股神经/髂筋膜（14）、臂丛神经（7）和前臂神经（桡神经、尺神经和正中神经）（7）。53 篇文章中有 47 篇发表于 2010 年或之后：目前支持在急诊室使用 UGRA 的文献越来越多，但并不平衡，需要进行大规模的人群研究来证明这些技术的安全性和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain management CLINICAL NEUROLOGY-

CiteScore

2.90

自引率

5.90%

发文量