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http://hdl.handle.net/1942/33977
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DC Field | Value | Language |
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dc.contributor.author | Jalil, Hassanin | - |
dc.contributor.author | Polfliet, Florence | - |
dc.contributor.author | NIJS, Kristof | - |
dc.contributor.author | BRUCKERS, Liesbeth | - |
dc.contributor.author | Salimans, Lene | - |
dc.contributor.author | CALLEBAUT, Ina | - |
dc.contributor.author | De Wachter, Gerrit | - |
dc.contributor.author | Van de Velde, Marc | - |
dc.contributor.author | STESSEL, Bjorn | - |
dc.contributor.editor | Farag, Ehab | - |
dc.date.accessioned | 2021-04-26T08:12:11Z | - |
dc.date.available | 2021-04-26T08:12:11Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-04-13T10:02:50Z | - |
dc.identifier.citation | PLoS One, 16 (2) (Art N° e0246863) | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | http://hdl.handle.net/1942/33977 | - |
dc.description.abstract | Background and objectives Distal upper extremity surgery is commonly performed under regional anaesthesia, including intravenous regional anaesthesia (IVRA) and ultrasound-guided forearm nerve block. This study aimed to investigate if ultrasound-guided forearm nerve block is superior to forearm IVRA in producing a surgical block in patients undergoing carpal tunnel release. Methods In this observer-blinded, randomized controlled superiority trial, 100 patients undergoing carpal tunnel release were randomized to receive ultrasound-guided forearm nerve block (n = 50) or forearm IVRA (n = 50). The primary outcome was anaesthetic efficacy evaluated by classifying the blocks as complete vs incomplete. Complete anaesthesia was defined as total sensory block, incomplete anaesthesia as mild pain requiring more analgesics or need of general anaesthesia. Pain intensity on a numeric rating scale (0-10) was recorded. Surgeon satisfaction with hemostasis, surgical time, and OR stay time were recorded. Patient satisfaction with the quality of the block was assessed at POD 1. Results In total, 43 (86%) of the forearm nerve blocks were evaluated as complete, compared to 33 (66%) of the forearm IVRA (p = 0.019). After the forearm nerve block, pain intensity was lower at discharge (-1.76 points lower, 95% CI (-2.92, -0.59), p = 0.0006) compared to patients treated with forearm IVRA. No differences in pain experienced at the start of the surgery, during surgery, and at POD1, nor in surgical time or total OR stay were observed between groups. Surgeon (p = 0.0016) and patient satisfaction (p = 0.0023) were slightly higher after forearm nerve block. Conclusion An ultrasound-guided forearm nerve block is superior compared to forearm IVRA in providing a surgical block in patients undergoing carpal tunnel release. | - |
dc.description.sponsorship | The authors received no specific funding for this work. | - |
dc.language.iso | en | - |
dc.publisher | PUBLIC LIBRARY SCIENCE | - |
dc.rights | 2021 Jalil et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | - |
dc.subject.other | Aged | - |
dc.subject.other | Carpal Tunnel Syndrome | - |
dc.subject.other | Female | - |
dc.subject.other | Forearm | - |
dc.subject.other | Humans | - |
dc.subject.other | Male | - |
dc.subject.other | Middle Aged | - |
dc.subject.other | Prospective Studies | - |
dc.subject.other | Anesthesia, Intravenous | - |
dc.subject.other | Nerve Block | - |
dc.subject.other | Ultrasonography, Interventional | - |
dc.title | Efficacy of ultrasound-guided forearm nerve block versus forearm intravenous regional anaesthesia in patients undergoing carpal tunnel release: A randomized controlled trial | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | e0246863 | - |
dc.identifier.volume | 16 | - |
local.format.pages | 13 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Stessel, B (corresponding author), Jessa Hosp, Dept Anaesthesiol & Pain Med, Hasselt, Belgium.; Stessel, B (corresponding author), UHasselt, Fac Med & Life Sci, Agoralaan, Diepenbeek, Belgium. | - |
dc.description.notes | bjorn.stessel@jessazh.be | - |
dc.description.other | Stessel, B (corresponding author), Jessa Hosp, Dept Anaesthesiol & Pain Med, Hasselt, Belgium ; UHasselt, Fac Med & Life Sci, Agoralaan, Diepenbeek, Belgium. bjorn.stessel@jessazh.be | - |
local.publisher.place | 1160 BATTERY STREET, STE 100, SAN FRANCISCO, CA 94111 USA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | e0246863 | - |
dc.identifier.doi | 10.1371/journal.pone.0246863 | - |
dc.identifier.pmid | 33606754 | - |
dc.identifier.isi | WOS:000620629200126 | - |
dc.contributor.orcid | Salimans, Lene/0000-0003-4259-3345; Callebaut, Ina/0000-0002-6666-6783 | - |
dc.identifier.eissn | 1932-6203 | - |
local.provider.type | wosris | - |
local.uhasselt.uhpub | yes | - |
local.description.affiliation | [Jalil, Hassanin; Polfliet, Florence; Nijs, Kristof; Callebaut, Ina; Salimans, Lene; Stessel, Bjorn] Jessa Hosp, Dept Anaesthesiol & Pain Med, Hasselt, Belgium. | - |
local.description.affiliation | [Bruckers, Liesbeth] Hasselt Univ, Data Sci Inst, I BioStat, Hasselt, Belgium. | - |
local.description.affiliation | [De Wachter, Gerrit] Jessa Hosp, Dept Orthoped Surg, Hasselt, Belgium. | - |
local.description.affiliation | [Callebaut, Ina; Stessel, Bjorn] UHasselt, Fac Med & Life Sci, Agoralaan, Diepenbeek, Belgium. | - |
local.description.affiliation | [Van de Velde, Marc] KULeuven, Dept Cardiovasc Sci, Leuven, Belgium. | - |
local.description.affiliation | [Van de Velde, Marc] Univ Hosp, Dept Anaesthesiol, Leuven, Belgium. | - |
local.uhasselt.international | no | - |
item.fullcitation | Jalil, Hassanin; Polfliet, Florence; NIJS, Kristof; BRUCKERS, Liesbeth; Salimans, Lene; CALLEBAUT, Ina; De Wachter, Gerrit; Van de Velde, Marc & STESSEL, Bjorn (2021) Efficacy of ultrasound-guided forearm nerve block versus forearm intravenous regional anaesthesia in patients undergoing carpal tunnel release: A randomized controlled trial. In: PLoS One, 16 (2) (Art N° e0246863). | - |
item.contributor | Jalil, Hassanin | - |
item.contributor | Polfliet, Florence | - |
item.contributor | NIJS, Kristof | - |
item.contributor | BRUCKERS, Liesbeth | - |
item.contributor | Salimans, Lene | - |
item.contributor | CALLEBAUT, Ina | - |
item.contributor | De Wachter, Gerrit | - |
item.contributor | Van de Velde, Marc | - |
item.contributor | STESSEL, Bjorn | - |
item.contributor | Farag, Ehab | - |
item.validation | ecoom 2022 | - |
item.accessRights | Open Access | - |
item.fulltext | With Fulltext | - |
crisitem.journal.issn | 1932-6203 | - |
crisitem.journal.eissn | 1932-6203 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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journal.pone.0246863.pdf | Published version | 1.41 MB | Adobe PDF | View/Open |
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