Complication Rates After Ultrasonography-Guided Nerve Blocks Performed in the Emergency Department
An erratum to this article was published (JAMA Netw Open, 2 Dec 2024 ↗)
Authors' conclusion
The findings of this cohort study of 2735 UGNB encounters support the safety of UGNBs in ED settings and suggest an association with improvement in patient pain scores.
Study context
- Population
- Adults who underwent a UGNB in 11 US Emergency Department (EDs), National Ultrasound-Guided Nerve Block Registry, 2022–2023UGNB encounters, 11 EDs
- Participants
- 2,735 adults
- Outcome
- Complication rates associated with ED-performed UGNBs
Methodological detailsmulticentre registry, observational, descriptive statistics
- Multicentre registry
- Observational
- Descriptive statistics
Main finding
As reported in the abstract
Complication rate of ED-performed UGNBs
Complications (10 of 2735 blocks)
0.4%
Observational data: associations, not effects.
Secondary outcomes
Patient pain scores: 51% to 100% pain relief following ultrasonography-guided nerve blocks (UGNBs)
- Patients with 51% to 100% pain relief (1320 of 1864)
- 70.8%
Block type
- Fascia iliaca blocks, the most commonly performed UGNBs (975 of 2742 blocks)
- 35.6%
Operator training level
- Procedures performed by resident physicians (1953 of 2733)
- 71.5%
- Operator training level varied
Safety
| Outcome | Values |
|---|---|
| LAST requiring intralipid | UGNB 1 events |
Original publication
Complication Rates After Ultrasonography-Guided Nerve Blocks Performed in the Emergency Department. JAMA Netw Open. Published 4 November 2024. doi:10.
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