Is single-injection digital nerve block technique effective in finger surgeries done under local anaesthesia? / (Record no. 177558)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 09180namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | EG-GICUC |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20260120124545.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 260110s2025 ua a|||frm||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 616.723 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 616.723 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | M.Sc |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.11.25.M.Sc.2025.Ah.I |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | Ahmed Naser Hanafi Mahmoud, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Is single-injection digital nerve block technique effective in finger surgeries done under local anaesthesia? / |
| Statement of responsibility, etc. | by Ahmed Naser Hanafi Mahmoud ; Supervision Prof. Dr. Yasser ElSafoury, Prof. Dr. Mostafa Ezzat, Dr. Mohamed Ahmed Mohamed Ibrahim. |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | هل تكون تقنية التخدير للعصب الإصبعى بحَقنة واحدة فعالة فى جراحات الأصابع التى تتم تحت التخدير الموضعى ؟ |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2025. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 90 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (M.Sc)-Cairo University, 2025. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 84-90. |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | Back ground: The increasing rate of finger surgeries, necessitates the use of the<br/>wide-awake approach to cope with higher flow of patients, posing a challenge on hand<br/>surgeons to choose the most appropriate DNB with highest efficacy & least<br/>complication for different types of finger surgeries. <br/>Objective: to assess efficacy and pain associated with the subcutaneous DNB for<br/>different types of finger surgeries. <br/>Patients & Methods: A group of 51 participants age range (16-65 years), with finger<br/>lesions, recruited from the ER and outpatient setting. All had their operations done<br/>under a single injection SCB injected at midline of the proximal digital crease, with<br/>SC infiltration of 3-5 ml of o.5% bupivacaine. Testing for success was done by<br/>pinprick testing at 5 min intervals and NRS score was used for measuring injection<br/>and procedure pain scores, while surgeon satisfaction was measured on a 1 to 10<br/>scale. <br/>Results: Among the 51 participants undergoing the SCB we had an 86.3% success<br/>rate. Mean injection pain of 3.17±1.7, mean procedure pain 0.84 1.5. The mean TTOA<br/>was 11.3±4.02 minutes, while mean DOP was 20.08±8.6 minutes. Location of the<br/>lesion had a significant impact on failure rate, PP, moderate SS and injection pain, the<br/>former 3 were highest among proximal dorsal regions, while the latter was highest<br/>among proximal volar ones. Ring fingers had higher injection pain while thumb and<br/>little finger had higher failure rate. Higher volume of anaesthetic was associated with<br/>lower procedure pain and shorter TTOA. Success rate was higher among chronic<br/>lesions but results were insignificant. Bony lesions although having a relatively low<br/>injection pain, they had high failure rate and PP level with low level of satisfaction<br/>whereas skin lesions had 100% success rate but the lowest level of surgeon<br/>satisfaction. <br/>Conclusion: The SCB is a safe, efficient DNB, that should be practically integrated<br/>into the everyday practice of hand surgeons, replacing traditional blocks. Surgeons<br/>should apply fine adjustments in block administration on a case-to-case basis<br/>according to modifiable risk factors identified to ensure maximal efficacy and least<br/>pain associated with the block |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | ﻳﺘﻄﻠﺐ ﺗﺰﺍﻳﺪ ﻣﻌﺪﻝ ﺟﺮﺍﺣﺎﺕ ﺍﻷﺻﺎﺑﻊ ﺍﺳﺘﺨﺪﺍﻡ ﻧﻬﺞ ﺍﻟﻴﻘﻈﺔ ﺍﻟﺘﺎﻣﺔ ﻟﻠﺘﻌﺎﻣﻞ ﻣﻊ ﻋﺪﺩ ﺃﻛﺒﺮ ﻣﻦ <br/>ﺍﻟﻤﺮﺿﻰ، ﻣﻤﺎﻳُﺸﻜﻞ ﺗﺤﺪﻳًﺎ ﻟﺠﺮﺍﺣﻲ ﺍﻟﻴﺪ ﻓﻲ ﺍﺧﺘﻴﺎﺭ ﺃﻧﺴﺐ ﻁﺮﻳﻘﺔ ﻟﺘﺨﺪﻳﺮ ﺍﻟﻌﺼﺐ ﺍﻻﺻﺒﻌﻰ ﺫﺍﺕ <br/> ﺍﻟﻔﻌﺎﻟﻴﺔ ﺍﻟﻌﺎﻟﻴﺔ ﻭﺍﻷﻗﻞ ﻣﻀﺎﻋﻔﺎﺕ ﻟﻤﺨﺘﻠﻒ ﺃﻧﻮﺍﻉ ﺟﺮﺍﺣﺎﺕ ﺍﻷﺻﺎﺑﻊ.<br/>ﻣﺠﻤﻮﻋﺔ ﻣﻦ 51 ﻣﺸﺎ ﺎ ﺗﺘﺮﺍﻭﺡ ﺃﻋﻤﺎﺭﻫﻢ ﺑﻴﻦ <br/><br/>ً<br/><br/>ﺭﻛ 16 ﻭ65 ﺎ، ﻳﻌﺎﻧﻮﻥ ﻣﻦ ﺇﺻﺎﺑﺎﺕ ﻓﻲ ﺍﻷﺻﺎﺑﻊ، <br/><br/>ً<br/><br/>ﻋﺎﻣ<br/>ﺗﻢ ﺗﺠﻨﻴﺪﻫﻢ ﻣﻦ ﻗﺴﻢ ﺍﻟﻄﻮﺍﺭﺉ ﻭﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﺨﺎﺭﺟﻴﺔ.ﺃُﺟﺮﻳﺖ ﻋﻤﻠﻴﺎﺗﻬﻢ ﺟﻤﻴﻌًﺎ ﺑﺎﺳﺘﺨﺪﺍﻡ ﺣﻘﻨﺔ ﻭﺍﺣﺪﺓ <br/>ﻣﻦ ﺗﺨﺪﻳﺮ ﺍﻟﻌﺼﺐ ﺍﻻﺻﺒﻌﻰ ﻋﻦ ﻁﺮﻳﻖ ﺍﻟﺤﻘﻦ ﺗﺤﺖ ﺍﻟﺠﻠﺪ ﻓﻲ ﻣﻨﺘﺼﻒ ﺛﻨﻴﺔ ﺍﻹﺻﺒﻊ ﺍﻟﻘﺮﻳﺒﺔ، ﻣﻊ <br/>ﺣﻘﻦ 3-5 ﻣﻞ ﻣﻦ ﺑﻮﺑﻴﻔﺎﻛﻴﻦ ﺑﺘﺮﻛﻴﺰ 0.5%. ﺗﻢ ﺍﺧﺘﺒﺎﺭ ﺍﻟﻨﺠﺎﺡ ﻋﻦ ﻁﺮﻳﻖ ﺍﺧﺘﺒﺎﺭ ﻭﺧﺰ ﺍﻹﺑﺮﺓ <br/> ﻟﻘﻴﺎﺱ ﺩﺭﺟﺎﺕ ﺃﻟﻢ ﺍﻟﺤﻘﻦ ﻭﺍﻹﺟﺮﺍء NRSﺑﻔﺎﺻﻞ 5 ﺩﻗﺎﺋﻖ، ﻭﺍﺳﺘُﺨﺪﻡ ﺍﻟﻤﻘﻴﺎﺱ ﺍﻟﺮﻗﻤﻰ ﻟﻸﻟﻢ <br/> ﺍﻟﺠﺮﺍﺣﻰ، ﺑﻴﻨﻤﺎ ﺗﻢ ﻗﻴﺎﺱ ﺭﺿﺎ ﺍﻟﺠﺮﺍﺡ ﻋﻠﻰ ﻣﻘﻴﺎﺱ ﻣﻦ 1 ﺇﻟﻰ 10.<br/> ﻣﻦ ﺑﻴﻦ 51 ﻣﺸﺎﺭًﻛﺎ ﺧﻀﻌﻮﺍ ﻟﻌﻤﻠﻴﺔ ﺗﺨﺪﻳﺮ ﺍﻻﺻﺒﻊ ﺑﺤﻘﻨﺔ ﻭﺍﺣﺪﺓ ﺗﺤﺖ ﺍﻟﺠﻠﺪ، ﻛﺎﻥ ﻣﻌﺪﻝ ﺍﻟﻨﺠﺎﺡ <br/>. ﻛﺎﻥ ﻣﺘﻮﺳﻂ ﻭﻗﺖ 1.5±0.84، ﻣﺘﻮﺳﻂ ﺃﻟﻢ ﺍﻹﺟﺮﺍء1.7±86.33.17%. ﻣﺘﻮﺳﻂ ﺍﻟﻢ ﺍﻟﺤﻘﻦ <br/> ﺩﻗﻴﻘﺔ.8.6±20.08ﺩﻗﻴﻘﺔ، ﺑﻴﻨﻤﺎ ﻛﺎﻥ ﻣﺘﻮﺳﻂ ﻭﻗﺖ ﺍﻟﺤﻘﻦ 4.02±11.3ﺍﻟﺤﻘﻦ <br/> ﻛﺎﻥ ﻟﻤﻮﻗﻊ ﺍﻻﺻﺎﺑﺔ ﺗﺄﺛﻴﺮ ﻛﺒﻴﺮ ﻋﻠﻰ ﻣﻌﺪﻝ ﺍﻟﻔﺸﻞ، ﻭﺍﻻﻟﻢ ﺍﻟﺠﺮﺍﺣﻰ، ﻭ ﺭﺿﺎ ﺍﻟﺠﺮﺍﺡ ﺍﻟﻤﻌﺘﺪﻝ، <br/>ﻭﺃﻟﻢ ﺍﻟﺤﻘﻦ. ﻛﺎﻧﺖ ﺍﻟﺜﻼﺛﺔ ﺍﻷﻭﻟﻰ ﻫﻲ ﺍﻷﻋﻠﻰ ﺑﻴﻦ ﺍﻟﻤﻨﺎﻁﻖ ﺍﻟﻈﻬﺮﻳﺔ ﺍﻟﻘﺮﻳﺒﺔ، ﺑﻴﻨﻤﺎ ﻛﺎﻧﺖ ﺍﻷﺧﻴﺮﺓ <br/>ﺍﻷﻋﻠﻰ ﺑﻴﻦ ﺍﻟﻤﻨﺎﻁﻖ ﺍﻟﺮﺍﺣﻴﺔ ﺍﻟﻘﺮﻳﺒﺔ. ﻛﺎﻥ ﺃﻟﻢ ﺍﻟﺤﻘﻦ ﺃﻋﻠﻰ ﻓﻲ ﺍﻟﺒﻨﺼﺮ، ﺑﻴﻨﻤﺎ ﻛﺎﻥ ﻣﻌﺪﻝ ﺍﻟﻔﺸﻞ <br/>ﺃﻋﻠﻰ ﻓﻲ ﺍﻹﺑﻬﺎﻡ ﻭﺍﻟﺨﻨﺼﺮ. ﺍﺭﺗﺒﻂ ﺣﺠﻢ ﺍﻟﺘﺨﺪﻳﺮ ﺍﻷﻛﺒﺮ ﺑﺄﻟﻢ ﺃﻗﻞ ﻓﻲ ﺍﻹﺟﺮﺍء ﻭﻭﻗﺖ ﻟﺘﺤﻘﻴﻖ <br/>ﺍﻟﺘﺨﺪﻳﺮ ﺃﻗﺼﺮ. ﻛﺎﻥ ﻣﻌﺪﻝ ﺍﻟﻨﺠﺎﺡ ﺃﻋﻠﻰ ﺑﻴﻦ ﺍﻹﺻﺎﺑﺎﺕ ﺍﻟﻐﻴﺮ ﻁﺎﺭﺋﺔ، ﻟﻜﻦ ﺍﻟﻨﺘﺎﺋﺞ ﻛﺎﻧﺖ ﺿﺌﻴﻠﺔ. <br/>ﺎ ﻣﻨﺨﻔًﻀﺎ ﻧﺴﺒﻴًﺎ ﻋﻨﺪ ﺍﻟﺤﻘﻦ، ﺇﻻ ﺃﻥ ﻣﻌﺪﻝ ﻓﺸﻠﻬﺎ <br/>ﻋﻠﻰ ﺍﻟﺮﻏﻢ ﻣﻦ ﺃﻥ ﺍﻹﺻﺎﺑﺎﺕ ﺍﻟﻌﻈﻤﻴﺔﺗُﺴﺒﺐ ﺃﻟﻤ<br/>ﻭﻣﺴﺘﻮﻯ ﺍﻻﻟﻢ ﺍﻟﺠﺮﺍﺣﻰ ﻓﻴﻬﺎ ﻣﺮﺗﻔﻌﺎﻥ، ﻣﻊ ﺍﻧﺨﻔﺎﺽ ﻣﺴﺘﻮﻯ ﺍﻟﺮﺿﺎ، ﺑﻴﻨﻤﺎ ﺣﻘﻘﺖ ﺍﻹﺻﺎﺑﺎﺕ <br/> ﺍﻟﺠﻠﺪﻳﺔ ﻣﻌﺪﻝ ﻧﺠﺎﺡ 100%، ﻟﻜﻦ ﻣﺴﺘﻮﻯ ﺭﺿﺎ ﺍﻟﺠﺮﺍﺡ ﻛﺎﻥ ﺍﻷﻗﻞ.<br/>ﻳُﻌﺪّ ﺣﻘﻦ ﺍﻟﻤﺨﺪﺭ ﺍﻟﻤﻮﺿﻌﻰ ﻟﺘﺨﺪﻳﺮ ﺍﻟﻌﺼﺐ ﺍﻻﺻﺒﻌﻰ ﺗﺤﺖ ﺍﻟﺠﻠﺪ ﺣﻘﻨًﺎ ﺟﺮﺍﺣﻴًﺎ ﺁﻣﻨًﺎ ﻭﻓﻌﺎﻻ<br/>ﻭﻳﻨﺒﻐﻲ ﺩﻣﺠﻪ ﻋﻤﻠﻴًﺎ ﻓﻲ ﺍﻟﻤﻤﺎﺭﺳﺔ ﺍﻟﻌﻤﻠﻴﺔ ﻟﺠﺮﺍﺣﻲ ﺍﻟﻴﺪ، ﻟﻴﺤﻞ ﻣﺤﻞ ﺍﻟﺘﺨﺪﻳﺮ ﺍﻟﺘﻘﻠﻴﺪﻱ. ﻳﺠﺐ ﻋﻠﻰ <br/>ﺍﻟﺠﺮﺍﺣﻴﻦ ﺇﺟﺮﺍء ﺗﻌﺪﻳﻼﺕ ﺩﻗﻴﻘﺔ ﻓﻲ ﺇﻋﻄﺎء ﺍﻟﺘﺨﺪﻳﺮ ﻋﻠﻰ ﺃﺳﺎﺱ ﻛﻞ ﺣﺎﻟﺔ ﻋﻠﻰ ﺣﺪﺓ، ﻭﻓﻘًﺎ ﻟﻌﻮﺍﻣﻞ <br/>ﺍﻟﺨﻄﺮ ﺍﻟﻘﺎﺑﻠﺔ ﻟﻠﺘﻌﺪﻳﻞ ﺍﻟﺘﻲ ﺗﻢ ﺗﺤﺪﻳﺪﻫﺎ، ﻟﻀﻤﺎﻥ ﺃﻗﺼﻰ ﻗﺪﺭ ﻣﻦ ﺍﻟﻔﻌﺎﻟﻴﺔ ﻭﺃﻗﻞ ﻗﺪﺭ ﻣﻦ ﺍﻷﻟﻢ <br/> ﺍﻟﻤﺼﺎﺣﺐ ﻟﻠﺘﺨﺪﻳﺮ. |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issues also as CD. |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Orthopedics |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | طب العظام |
| 653 #1 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Finger |
| -- | Digital nerve block |
| -- | Single injection |
| -- | Subcutaneous |
| -- | تقنية التخدير للعصب الإصبعى بحَقنة واحدة فعالة |
| -- | تحت التخدير الموضعى |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Yasser ElSafoury |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mostafa Ezzat |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mohamed Ahmed Mohamed Ibrahim |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2025 |
| Supervisory body | Yasser ElSafoury |
| -- | Mostafa Ezzat |
| -- | Mohamed Ahmed Mohamed Ibrahim |
| Universities | Cairo University |
| Faculties | Faculty of Medicine |
| Department | Department of Orthopedic Surgery |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Shimaa |
| Reviser Names | Eman Ghareb |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 10.01.2026 | 93105 | Cai01.11.25.M.Sc.2025.Ah.I | 01010110093105000 | 10.01.2026 | 10.01.2026 | Thesis |