Analgesia for Awake Internal Jugular Vein Cannulation in Trauma Emergency Bay: A Randomized Comparison of Ultrasound-Guided Superficial Cervical Plexus Block With Local Infiltration.
Kajal Jain, Nidhi Bhatia, Ankita Goyal et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial evaluated the effectiveness of ultrasound-guided superficial cervical plexus block (SCPB) versus local infiltration for analgesia during internal jugular vein cannulation in 60 awake trauma patients. The study found that SCPB resulted in significantly lower median pain scores and reduced total procedure time by approximately 50%, indicating its potential as a superior analgesic technique.
Key findings
- Median NRS pain scores were significantly lower in the SCPB group compared to local infiltration at all procedural time points (p < 0.01).
- Total procedure time was reduced by approximately 50% in the SCPB group (7.5 min) compared to local infiltration (15.5 min; p < 0.01).
- Patient discomfort scores were significantly lower in the SCPB group (p < 0.01).
- No periprocedural complications were reported in either group.
Why it matters
Effective pain management during procedures like internal jugular vein cannulation is crucial for patient comfort and procedural efficiency. This study suggests that ultrasound-guided SCPB may enhance analgesia and reduce procedure duration, potentially improving outcomes in trauma care.