Uses of nerve block in shoulder dislocation in emergency department - a systematic review

Ahmed Hadi Khurmi; Tareg Shaig M. Alharthi; Ahmed Nasser Reefi; Najwan Muhammad Mughal; Deema Abdullah Bakhashab; Maram Merza A. Alekri; Omar Saeed S. Alshahrani; Faisal Saud A. Alshahrani; Abdulrahman Obaid G. Alharthi; Saad Mufadhi Alanazi

doi:10.24911/IJMDC.51-1701579026

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Review Article
Online Published: 25 Dec 2023

IJMDC. 2024; 8(1): 449-454

doi: 10.24911/IJMDC.51-1701579026

Uses of nerve block in shoulder dislocation in emergency department - a systematic review

Ahmed Hadi Khurmi, Tareg Shaig M. Alharthi, Ahmed Nasser Reefi, Najwan Muhammad Mughal, Deema Abdullah Bakhashab, Maram Merza A. Alekri, Omar Saeed S. Alshahrani, Faisal Saud A. Alshahrani, Abdulrahman Obaid G. Alharthi, Saad Mufadhi Alanazi.

Abstract
Background: Nerve block is a potentially helpful localized analgesic technique for reducing shoulder dislocation and humorous fractures in the emergency room. Examining the usefulness of NB pain reduction, adverse events, patient satisfaction, and LOS in the ED is the objective of this systematic review.
Method: We conducted an electronic search of EMBASE, MEDLINE, and the Cochrane Library in addition to a manual search of the references, included articles were RCTs published between 2002 to 2022 comparing PSA with NBs for orthopedic reductions in the ED. Interest grabbing outcomes were pain ratings, adverse events, LOS in the ED, and patient satisfaction.
Results: Six studies were included in the final analysis. Consequently, 256 patients from 6 RCTs were included; 127 of them underwent PSA and 129 NB. When comparing the PSA group to the NB group, the PSA group reported adverse events more frequently. The NB group only experienced a transient systemic toxicity that resolved on its own without the need for further treatment or intervention. Hypoventilation with decreased saturation of oxygen was the most frequent adverse event seen in the patient underwent PSA. Regarding LOS all studies showed shorter LOS in patients underwent NB.
Conclusion: We found no appreciable difference in pain ratings for ED fracture or dislocation reductions between PSAs and NBs in this thorough investigation. NBs appear to be associated with a shorter duration of stay and fewer unfavorable events in the ED.

Key words: nerve block, shoulder dislocation, emergency department

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Pubmed Style

Khurmi AH, Alharthi TSM, Reefi AN, Mughal NM, Bakhashab DA, Alekri MMA, Alshahrani OSS, Alshahrani FSA, Alharthi AOG, Alanazi SM. Uses of nerve block in shoulder dislocation in emergency department - a systematic review. IJMDC. 2024; 8(1): 449-454. doi:10.24911/IJMDC.51-1701579026

Web Style

Khurmi AH, Alharthi TSM, Reefi AN, Mughal NM, Bakhashab DA, Alekri MMA, Alshahrani OSS, Alshahrani FSA, Alharthi AOG, Alanazi SM. Uses of nerve block in shoulder dislocation in emergency department - a systematic review. https://www.ijmdc.com/?mno=179721 [Access: March 17, 2025]. doi:10.24911/IJMDC.51-1701579026

AMA (American Medical Association) Style

Khurmi AH, Alharthi TSM, Reefi AN, Mughal NM, Bakhashab DA, Alekri MMA, Alshahrani OSS, Alshahrani FSA, Alharthi AOG, Alanazi SM. Uses of nerve block in shoulder dislocation in emergency department - a systematic review. IJMDC. 2024; 8(1): 449-454. doi:10.24911/IJMDC.51-1701579026

Vancouver/ICMJE Style

Khurmi AH, Alharthi TSM, Reefi AN, Mughal NM, Bakhashab DA, Alekri MMA, Alshahrani OSS, Alshahrani FSA, Alharthi AOG, Alanazi SM. Uses of nerve block in shoulder dislocation in emergency department - a systematic review. IJMDC. (2024), [cited March 17, 2025]; 8(1): 449-454. doi:10.24911/IJMDC.51-1701579026

Harvard Style

Khurmi, A. H., Alharthi, . T. S. M., Reefi, . A. N., Mughal, . N. M., Bakhashab, . D. A., Alekri, . M. M. A., Alshahrani, . O. S. S., Alshahrani, . F. S. A., Alharthi, . A. O. G. & Alanazi, . S. M. (2024) Uses of nerve block in shoulder dislocation in emergency department - a systematic review. IJMDC, 8 (1), 449-454. doi:10.24911/IJMDC.51-1701579026

Turabian Style

Khurmi, Ahmed Hadi, Tareg Shaig M. Alharthi, Ahmed Nasser Reefi, Najwan Muhammad Mughal, Deema Abdullah Bakhashab, Maram Merza A. Alekri, Omar Saeed S. Alshahrani, Faisal Saud A. Alshahrani, Abdulrahman Obaid G. Alharthi, and Saad Mufadhi Alanazi. 2024. Uses of nerve block in shoulder dislocation in emergency department - a systematic review. International Journal of Medicine in Developing Countries, 8 (1), 449-454. doi:10.24911/IJMDC.51-1701579026

Chicago Style

Khurmi, Ahmed Hadi, Tareg Shaig M. Alharthi, Ahmed Nasser Reefi, Najwan Muhammad Mughal, Deema Abdullah Bakhashab, Maram Merza A. Alekri, Omar Saeed S. Alshahrani, Faisal Saud A. Alshahrani, Abdulrahman Obaid G. Alharthi, and Saad Mufadhi Alanazi. "Uses of nerve block in shoulder dislocation in emergency department - a systematic review." International Journal of Medicine in Developing Countries 8 (2024), 449-454. doi:10.24911/IJMDC.51-1701579026

MLA (The Modern Language Association) Style

Khurmi, Ahmed Hadi, Tareg Shaig M. Alharthi, Ahmed Nasser Reefi, Najwan Muhammad Mughal, Deema Abdullah Bakhashab, Maram Merza A. Alekri, Omar Saeed S. Alshahrani, Faisal Saud A. Alshahrani, Abdulrahman Obaid G. Alharthi, and Saad Mufadhi Alanazi. "Uses of nerve block in shoulder dislocation in emergency department - a systematic review." International Journal of Medicine in Developing Countries 8.1 (2024), 449-454. Print. doi:10.24911/IJMDC.51-1701579026

APA (American Psychological Association) Style

Khurmi, A. H., Alharthi, . T. S. M., Reefi, . A. N., Mughal, . N. M., Bakhashab, . D. A., Alekri, . M. M. A., Alshahrani, . O. S. S., Alshahrani, . F. S. A., Alharthi, . A. O. G. & Alanazi, . S. M. (2024) Uses of nerve block in shoulder dislocation in emergency department - a systematic review. International Journal of Medicine in Developing Countries, 8 (1), 449-454. doi:10.24911/IJMDC.51-1701579026

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