Evidence map›Paper›PMID 39580644›Full record

ArticlePain management

Ultrasound-guided regional anesthesia (UGRA) in the emergency department: a scoping review.

Syed Mohammad J Mahmood, Nikhil B Bhana, Clarence Kong, Nik Theyyunni, William J Schaeffer, Charles W Kropf, Nicole T Klekowski, Brendan W Munzer, Zachary B Rotter, Ashley E Hall and 3 more

Abstract readScoping Review
In one paragraph

Article in Pain management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Syed Mohammad J MahmoodDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-0756-0444
Nikhil B BhanaDepartment of Emergency Medicine, University of Massachusetts, Worcester, MA, USA.ORCID 0000-0003-3183-2881
Clarence KongDepartment of Pain Medicine, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA, USA.ORCID 0000-0001-6582-6127
Nik TheyyunniDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
William J SchaefferDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Charles W KropfDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-8380-6664
Nicole T KlekowskiDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Brendan W MunzerDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-9100-1409
Zachary B RotterDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Ashley E HallDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Jonathan D PorathDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
William J PetersonDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-3950-3054
Ryan V TuckerDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-1189-4831

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile many studies have been published on Ultrasound-guided regional anesthesia in the Emergency Department (ED), there has been no previous study assessing the current state of the literature based in the form of a scoping review.

objectiveThe purpose of this study is to evaluate the current state of the literature on UGRA performed in the ED setting.

methodsEMBASE, MEDLINE, CINAHL, and Cochrane databases were searched for studies. Following PRISMA-ScR guidelines (Figure 1), two reviewers evaluated each title and abstract and were included if they described a UGRA technique performed on patients in the ED by an ED provider. Cohen's kappa coefficients were calculated for each level of review.[Figure: see text].

resultsOf the 1,456 abstracts, a total of 53 articles were included in the analysis, of which 28 (52.8%) were case series and 11 (20.8%) were randomized control trials (RCTs). The most common types of nerve block represented in these studies were femoral nerve/fascia iliaca (14), brachial plexus (7), and forearm (radial, ulnar, median nerves) (7). 47 of the 53 articles were published in or after the year 2010.

conclusionCurrent literature supporting UGRA use in the ED is growing but unbalanced, requiring large population studies to demonstrate safety and efficacy of these techniques.

Indexed as

Anesthesia, ConductionEmergency Service, HospitalUltrasonography, InterventionalHumansNerve Blockemergency departmentnerve blockspain managementregional anesthesiologyUltrasound

Identifiers

PMID39580644
PMCPMC11622794

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.