ArticleCureus2026
Prospective Study of Ultrasound-Guided Regional Anesthesia Blocks for Upper Extremity Procedures in a Community Emergency Medicine Hospital.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Painful upper extremity injuries frequently require procedures for which procedural sedation may be resource-intensive. This prospective study evaluated the educational impact and clinical feasibility of implementing a structured ultrasound-guided regional anesthesia curriculum as an alternative to procedural sedation for selected upper extremity procedures within a community emergency medicine residency. From January through December 2025, attending emergency physicians participated in a two-hour didactic session and hands-on workshop followed by longitudinal on-shift mentorship. Physician knowledge was assessed using a locally developed pre- and post-intervention cognitive assessment. Seventeen physicians completed the curriculum. Mean assessment scores increased from 8.18±3.05 to 18.41±1.58, with a mean improvement of 10.24 points (95% confidence interval (CI), 9.02-11.45; p<0.001). During clinical implementation, 30 ultrasound-guided brachial plexus blocks were performed. The intended procedure was completed without procedural sedation in 28 (93.3%) cases. In two (6.7%) cases, procedural sedation was subsequently required to complete the planned reduction. No immediate procedure-related complications were observed. A structured ultrasound-guided regional anesthesia curriculum was associated with improved physician knowledge and successful clinical implementation of brachial plexus blocks. These findings support the feasibility of incorporating ultrasound-guided regional anesthesia as an additional analgesic strategy for selected upper extremity procedures in a community emergency medicine setting.
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