• Users Online: 961
  • Print this page
  • Email this page
Year : 2022  |  Volume : 22  |  Issue : 3  |  Page : 125-130

Comparison of pain and extent of anesthesia in digital blocks for isolated finger lacerations: A randomized controlled trial

1 Department of Surgery, Kuwait University, Al-Shuwaikh, Kuwait
2 Department of Orthopedic Surgery, AlRazi Hospital, Al-Shuwaikh, Kuwait
3 Department of Plastic Surgery, AlBabtain Hospital, Al-Shuwaikh, Kuwait
4 Department of Anatomy, Trinity College Dublin, Dublin, Ireland
5 Department of Surgery, College of Medicine, University of Baghdad, Baghdad, Iraq

Correspondence Address:
Ali Jarragh
Department of Surgery, Kuwait University
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjem.tjem_344_21

Rights and Permissions

OBJECTIVES: Digital injuries are among the most common presentations to the emergency department. In order to sufficiently examine and manage these injuries, adequate, prompt, and predictable anesthesia is essential. In this trial, we aim to primarily compare the degree of pain and anesthesia onset time between the two-injection dorsal block technique (TD) and the single-injection volar subcutaneous block (SV) technique. Further, we describe the temporal and anatomical effects of both techniques for an accurate delineation of the anesthetized regions. METHODS: This is a single-center prospective randomized controlled trial involving patients presenting with isolated wounds to the fingers requiring primary repair under local anesthesia. Patients were randomized to either the SV or TD blocks. The primary outcome was procedure-related pain (Numerical Rating Scale). Further, we assessed the extent of anesthesia along with the anesthesia onset time. RESULTS: A total of 100 patients were included in the final analysis, 50 on each arm of the study. The median pain score during injection was significantly higher in patients who received TD block than patients who received SV block (median [interquartile range] = 4 [2.25, 5.00] vs. 3.00 [2.00, 4.00], respectively, P = 0.006). However, anesthesia onset time was not statistically different among the groups (P = 0.39). The extent of anesthesia was more predictable in the dorsal block compared to the volar block. CONCLUSION: The single-injection volar subcutaneous blocks are less painful with a similar anesthesia onset time. Injuries presenting in the proximal dorsal region may benefit from the two-injection dorsal blocks, given the anatomical differences and timely anesthesia of the region.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded187    
    Comments [Add]    

Recommend this journal