Ultrasound-guided nerve blocks: developing a ultrasound-guided nerve block program

Area of Science:

• Emergency Medicine
• Pain Management
• Ultrasound Technology

Background:

• Managing acute pain in the Emergency Department (ED) is a core function of Emergency Physicians (EPs).
• Opiate-sparing strategies are increasingly important due to the opioid crisis and associated risks.
• Ultrasound-guided nerve blocks (UGNBs) offer an effective alternative for acute pain management.

Purpose of the Study:

• To provide a framework for developing new ultrasound-guided nerve block programs in Emergency Departments.
• To address institutional barriers hindering the widespread adoption of UGNBs.
• To guide EPs and stakeholders in establishing safe and effective nerve block initiatives.

Main Methods:

• Outlining a comprehensive program development strategy.
• Identifying key stakeholders and their roles in program implementation.
• Detailing essential components: quality assurance, education, and safety protocols.

Main Results:

• UGNBs demonstrate excellent analgesia with a strong safety profile.
• Benefits include reduced risk of delirium and shorter ED lengths of stay.
• Successful program implementation requires addressing provider familiarity and institutional buy-in.

Conclusions:

• Establishing UGNB programs is crucial for modern acute pain management in the ED.
• This framework provides a practical starting point for EDs aiming to implement UGNBs.
• Widespread adoption of UGNBs can significantly improve patient outcomes and reduce opioid reliance.