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On-Arrival Brachial Plexus Block Improves Pain and Reduces Chronic Pain in Complex Hand Injuries

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Ace Report Cover
August 2025

On-Arrival Brachial Plexus Block Improves Pain and Reduces Chronic Pain in Complex Hand Injuries

Vol: 307| Issue: 8| Number:6| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

On arrival continuous brachial plexus block provides superior analgesia with reduced persistent postsurgical pain in complex hand injuries: A randomized controlled trial.

J Trauma Acute Care Surg . 2025 Jun 1;98(6):934-941.

Contributing Authors:
K Kashyap N Bhatia K Jain K Singla M Kumar R Nair S Gaba T Gupta

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Synopsis

Eighty adult patients with complex unilateral hand injuries were randomized to receive either a continuous infraclavicular brachial plexus block (n=40) or standard intravenous analgesics (n=40). The primary outcome was pain relief 1 hour after intervention. Secondary outcomes included pain during interventions, rescue analgesic use, patient satisfaction, and persistent postsurgical pain (PPSP) at ...

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