Journal of Medical Council of Iran
Volume 43, Issue 3 (2025)
jmciri 2025, 43(3): 76-82 |
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Ethics code: IR.AJAUMS.REC.1399.014
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Hajali M H, Karbalaei-Musa H, Kianpour P, Veisy M S, Tavakoli J, Jahangirifard B. Comparative Study of Three Drug Combinations for Digital Nerve Blocks in Patients with Finger Injuries. jmciri 2025; 43 (3) :76-82
URL: http://jmciri.ir/article-1-3368-en.html
URL: http://jmciri.ir/article-1-3368-en.html
Mohammad Hossein Hajali 
, Hamidreza Karbalaei-Musa , Parisa Kianpour , Mohammad saeed Veisy , Jalil Tavakoli , Babak Jahangirifard
, Hamidreza Karbalaei-Musa , Parisa Kianpour , Mohammad saeed Veisy , Jalil Tavakoli , Babak Jahangirifard
Department of Anesthesia and Intensive Care, School of Medicine, Aja University of Medical Sciences, Tehran, Iran
Abstract: (3 Views)
Abstract
Background: Trauma of the finger, such as fracture, dislocation, and laceration of skin, nerves, vessels, or tendons, is one of the most frequent orthopedic traumas requiring proper pain relief. The objective of this study was to compare and assess three drug combinations lidocaine only, lidocaine plus dexamethasone, and lidocaine plus sodium bicarbonate for digital nerve blocks in patients with traumatic finger injuries. The investigation was modeled to determine the best combination of drugs to minimize pain, prolong the period of analgesia, and achieve maximum patient satisfaction.
Methods: This was a retrospective descriptive-analytical study of 90 hospitalized patients aged between 18 to 90 years, who were hospitalized in Imam Reza Hospital, Tehran, Iran, during the year 2018. The patients were divided into three groups: Group A (lidocaine single injection), Group B (lidocaine+dexamethasone), and Group C (lidocaine+sodium bicarbonate). Data gathered were gender, body mass index (BMI), time of onset of analgesia, duration of analgesia, patient satisfaction, and intensity of postoperative pain. Data were analyzed statistically by SPSS software and suitable statistical tests.
Results: The findings showed that Group B (lidocaine+dexamethasone) showed the maximum patient satisfaction rate (70%) and minimum severity of pain (76.7% with mild pain). The duration of analgesia was also maximum in the same group (96.71 minutes). However, Group C (lidocaine+sodium bicarbonate) presented with the fastest onset of analgesia (2.49 minutes) but with the shortest duration of analgesia (37.07 minutes). Group A (lidocaine) also presented with the least patient satisfaction (16.7%) and the greatest degree of pain (66.7% moderate pain). The comparison between the groups was statistically different (P<0.001).
Conclusion: The addition of dexamethasone to lidocaine was found to be a very effective way of digital nerve blocks, decreasing pain significantly, improving patient satisfaction, and even the duration of analgesia. The results can be applied to enhance pain management in traumatic finger injuries and even to validate the application of dexamethasone as an effective adjuvant in nerve blocks.
Background: Trauma of the finger, such as fracture, dislocation, and laceration of skin, nerves, vessels, or tendons, is one of the most frequent orthopedic traumas requiring proper pain relief. The objective of this study was to compare and assess three drug combinations lidocaine only, lidocaine plus dexamethasone, and lidocaine plus sodium bicarbonate for digital nerve blocks in patients with traumatic finger injuries. The investigation was modeled to determine the best combination of drugs to minimize pain, prolong the period of analgesia, and achieve maximum patient satisfaction.
Methods: This was a retrospective descriptive-analytical study of 90 hospitalized patients aged between 18 to 90 years, who were hospitalized in Imam Reza Hospital, Tehran, Iran, during the year 2018. The patients were divided into three groups: Group A (lidocaine single injection), Group B (lidocaine+dexamethasone), and Group C (lidocaine+sodium bicarbonate). Data gathered were gender, body mass index (BMI), time of onset of analgesia, duration of analgesia, patient satisfaction, and intensity of postoperative pain. Data were analyzed statistically by SPSS software and suitable statistical tests.
Results: The findings showed that Group B (lidocaine+dexamethasone) showed the maximum patient satisfaction rate (70%) and minimum severity of pain (76.7% with mild pain). The duration of analgesia was also maximum in the same group (96.71 minutes). However, Group C (lidocaine+sodium bicarbonate) presented with the fastest onset of analgesia (2.49 minutes) but with the shortest duration of analgesia (37.07 minutes). Group A (lidocaine) also presented with the least patient satisfaction (16.7%) and the greatest degree of pain (66.7% moderate pain). The comparison between the groups was statistically different (P<0.001).
Conclusion: The addition of dexamethasone to lidocaine was found to be a very effective way of digital nerve blocks, decreasing pain significantly, improving patient satisfaction, and even the duration of analgesia. The results can be applied to enhance pain management in traumatic finger injuries and even to validate the application of dexamethasone as an effective adjuvant in nerve blocks.
Type of Study: Research |
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