Double-dorsal Versus Single-volar Digital Block

Double-dorsal Versus Single-volar Digital Subcutaneous Anaesthetic Injection for Finger Injuries in the Emergency Department: A Randomised Controlled Trial

The aim of this study is to compare the traditional dorsal double injection digital block with the palmar single injection technique in the suturing of acute traumatic hand finger lacerations in terms of injection pain score (NRS), anesthesia onset time, and success of anesthesia.

It is understood that single injection digital block and double injection digital block techniques do not have significant advantages over each other in terms of pain levels and procedure times.

However, the need for rescue anesthesia was evaluated to be lower in the single injection digital block technique. This difference is especially due to measurements in the volar region incisions.

According to the results of this study, we think that choosing the single injection digital block technique for volar region incisions is a more rational approach, especially in terms of the data of the need for rescue anesthesia.

Randomized, parallel controlled, open labeled experimental study

Inclusion Criteria:

• Between 18-65 years of age
• Isolated traumatic acute hand finger lacerations requiring suturing
• Admissions within 6 hours of injury
• Patients who can cooperate with the NRS score
• Patients who gave consent

Exclusion Criteria:

• Vein, nerve and tendon lacerations on the hand that require repair
• Amputation or bone fracture
• Those who have used analgesics in the last 12 hours
• Hemodynamically unstable patients
• Known allergy to prilocaine hydrochloride