Harmonizing the healing of hand trauma in a piano teacher: a case report on pain management in Ireland and utilizing butterfly ultrasound for a brachial plexus nerve block

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dc.contributor.authorKajitani, Sten
dc.contributor.authorKramer, Andrew
dc.contributor.authorAlbakri, Ahmad
dc.contributor.authorO'Donnell , Brian
dc.contributor.authorJeantet, Quentin
dc.date.accessioned2024-09-12T10:32:38Z
dc.date.available2024-09-12T10:32:38Z
dc.date.issued2024
dc.description.abstractBackground: This case report outlined a specialized surgical technique designed for the restoration of intricate hand functionality after a complex hand injury. It also highlighted the use of Butterfly iQ+ and its integration with iOS devices for teaching ultrasound techniques during the administration of a brachial plexus nerve block. Finally, concerns regarding pain management protocols in Ireland were raised. Case Details: A 58-year-old piano teacher presented with a significant hand trauma. The restoration of intricate hand functionality essential for her profession as a piano teacher was a central concern. Her treatment included surgical exploration and wire fixation of the fractures. The application of Butterfly Ultrasound played an interesting role as an educational tool in anesthetic administration. Discussion: The case presented significant challenges in postoperative rehabilitation, necessitating an adjustment to a more conservative approach due to the patient's high pain levels. This adjustment highlighted gaps in pain management and anesthetic care, especially during the transition from hospital to home care, revealing broader issues in Ireland's rehabilitation systems. The postoperative prescription of Oxycontin was inconsistent with established guidelines, pointing to a need for improved integration between primary and tertiary care. Conclusion: This case underscored the importance of patient-specific, adaptable management strategies in trauma recovery. It showcased the potential role of Butterfly Ultrasound in clinical settings for anesthetic guidance and educational purposes. Finally, the report further prompted a broader dialogue on the improvement of pain management practices, particularly concerning the rise in opioid prescriptions in Ireland.en
dc.description.statusPeer-revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKajitani, S., Kramer, A., Albakri, A., O'Donnell , B. and Jeantet, Q. (2024) 'Harmonizing the healing of hand trauma in a piano teacher: a case report on pain management in Ireland and utilizing butterfly ultrasound for a brachial plexus nerve block', UCC Student Medical Journal, 4, pp. 81-86. https://doi.org/10.33178/SMJ.2024.1.8en
dc.identifier.doihttps://doi.org/10.33178/SMJ.2024.1.8
dc.identifier.endpage86
dc.identifier.issn2737-7237
dc.identifier.journalabbrevUCC SMJ
dc.identifier.journaltitleUCC Student Medical Journalen
dc.identifier.startpage81
dc.identifier.urihttps://hdl.handle.net/10468/16346
dc.identifier.urihttps://journals.ucc.ie/index.php/smj/article/view/4116
dc.language.isoenen
dc.publisherUCC Medical Research and Technology Societyen
dc.rights© 2024, the Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.sourceBatch uploaden
dc.subjectHanden
dc.subjectTraumaen
dc.subjectPOCUSen
dc.subjectButterfly-ultrasounden
dc.subjectPlastic surgeryen
dc.titleHarmonizing the healing of hand trauma in a piano teacher: a case report on pain management in Ireland and utilizing butterfly ultrasound for a brachial plexus nerve blocken
dc.typeArticle (peer-reviewed)en
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