Evidence map›Paper›PMID 41322186›Full record

ArticlePOCUS journal2025

POCUS-Guided Forearm Nerve Blocks for Analgesia of Acute Hand Ischemia in the Emergency Department.

Richard J Gawel, Sydney Sillart, Nova Panebianco, Michael Shalaby, Ian P Ciesielski

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in POCUS journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Richard J GawelDepartment of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sydney SillartDepartment of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nova PanebiancoDepartment of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael ShalabyDepartment of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ian P CiesielskiDepartment of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute limb ischemia (ALI) is a vascular emergency associated with significant pain that can be challenging to manage, especially in opioid-tolerant patients. Case Report: A 44-year-old man with opioid use disorder presented with ALI of the right hand not amenable to surgical intervention after self-injection of fentanyl. Despite high-dose opioids, he continued to experience refractory pain. Point of care ultrasound (POCUS)-guided radial and median nerve blocks performed in the emergency department provided substantial relief. Discussion: This case illustrates the novel use of POCUS-guided upper extremity regional anesthesia by emergency physicians to manage ALI pain. POCUS-guided regional anesthesia may be a safe, effective adjunct in select patients, though patients must be closely monitored for complications.

Indexed as

Pain ManagementPoint-of-care ultrasound guided regional anesthesiaRegional anesthesiaUpper extremity ischemia

Identifiers

PMID41322186
PMCPMC12658572

What OpenQuestion holds

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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.