Document Type : Original Article
Authors
1
Professor of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Assistant Professor of Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
https://doi.org/10.21608/aimj.2025.446480
Abstract
Background: Nerve block for hand and wrist surgery is a useful anesthetic technique for early hospital discharge, reduced recovery time after surgery, and postoperative pain management. As of right now, the perineural injection approach is known to be more effective when this nerve block is carried out under ultrasound supervision.
Aim and objectives: To compare the effectiveness of anatomic landmark-based wrist nerve blocks (wrist blocks) with ultrasound-guided forearm nerve blocks (forearm nerve blocks) in providing hand anesthesia for patients undergoing hand surgeries.
Subjects and methods: This prospective randomized single-blinded study was carried out on 116-patients underwent hand operation admitted to Al-Hussein University Hospital, Cairo, Egypt between March 2024 and January 2025.
Results: When comparing the two groups' VAS scores at various points before and after analgesia, there was no statistically significant difference at 5, 10, 15, 20, 25, 30, and 35 minutes intraoperatively or at 1, 5, 6, 8, 12, 16, and 24 hours postoperatively. After 40, 45, and 50 minutes of surgery, as well as 2, 3, and 4 hours postoperatively, Group I had a substantially lower VAS compared to Group II.
Conclusion: For hand procedures, ultrasound-guided forearm nerve blocks are preferable to anatomic landmark-based wrist nerve blocks because they enhance surgical anesthesia, reduce postoperative pain scores, postpone the necessity for rescue analgesia, and boost patient satisfaction.
Keywords
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