CHANGES IN THE VAS SCORE WHEN USING THE FEMORAL - SCIATIC NERVE BLOCK TO RELIEVE PAIN IN PATIENTS WITH LOWER LIMB FRACTURES IN THE EMERGENCY DEPARTMENT OF THAI BINH GENERAL HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the changes in the VAS score and safety of femoral -sciatic nerve blocks guided by ultrasound to alleviate pain in patients with acute lower limb fractures at the emergency department of Tinh Thai Binh General Hospital. Research Subjects and Methods: Clinical observations were made on patients with acute lower limb fractures who received femoral - sciatic nerve blocks guided by ultrasound with VAS score >7 at the emergency department of Thai Binh General Hospital. Results: The study included 105 patients (67 males and 38 females), of which 50.5% were farmers, 22% were self-employed workers and 11.4% were laborers. Among these patients, 32.6% had femoral fractures and 63.8% of the patients had fractures in the lower leg bones, including 60 out of 105 patients with 2 fractured leg bones (57.1%) and 30 out of 105 patients with a fractured middle femur bone (28.65%). The VAS scores before and after the nerve block 5, 10, 15, and 30 minutes were 8.44 ± 0.55, 4.00 ± 0.76, 2.29 ± 0.49, 0.29 ± 0.45, and 0.27 ± 0.45, respectively. No side-effects or unexpected complications were observed. Conclusion: Femoral and obturator nerve blocks guided by ultrasound are a safe and effective method for pain relief, with a rapid decrease in VAS score 5 minutes after the nerve block. No unexpected complications or side-effects were observed
Keywords
: VAS score, femoral nerve block, sciatic nerve block.
Article Details
References
2. Bansal L, J.P. Attri and P. Verma. Lower limb surgeries under combined femoral and sciatic nerve block. Anesthesia, essays and researches, 2016. 10(3): p. 432.
3. Bahreini M et al. How much change in pain score does really matter to patients? Am J Emerg Med, 2020. 38(8): p. 1641-1646.
4. Gallagher E.J et al. Reliability and validity of a visual analog scale for acute abdominal pain in the ED. Am J Emerg Med, 2002. 20(4): p. 287-90.
5. Nguyễn Văn Vĩnh và cộng sự. Nghiên cứu đặc điểm lâm sàng và đánh giá kết quả điều trị gần gãy hở thân 2 xương cẳng chân tại khoa Chấn thương Bệnh viện Đa khoa Thái Bình năm 2008. Hội nghị khoa học công nghệ trường Đại học Y Dược Thái Bình, 2015.
6. Nguyen Huu Chien, Pham Dang Ninh, and Nguyen Tien Binh. Some epidemiological characteristics of bone fracture of motor organs in 5 years at the 103 military hospital. Journal of military Pharmaco-medicine, 2018. 43(1): p. 172-178.
7. Griffioen M.A et al. Change in Pain Score after Administration of Analgesics for Lower Extremity Fracture Pain during Hospitalization. Pain Manag Nurs, 2019. 20(2): p. 158-163.
8. Griffioen M.A and G. OʼBrien. Analgesics Administered for Pain During Hospitalization Following Lower Extremity Fracture: A Review of the Literature. J Trauma Nurs, 2018. 25(6): p. 360-365.
9. Sinha A et al. Evaluating Analgesic Efficacy of Single Femoral Nerve Block versus Combined Femoral-Sciatic Nerve Block Post Total Knee Arthroplasty. Anesth Essays Res, 2020. 14(2): p. 326-330.
10. Xiao R et al. Dexmedetomidine Combined with Femoral Nerve Block Provides Effective Analgesia Similar to Femoral Nerve Combined with Sciatic Nerve Block in Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Study. Drug Des Devel Ther, 2022. 16: p. 155-164.