{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T04:36:31Z","timestamp":1781757391246,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T00:00:00Z","timestamp":1644710400000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Among the work-related injuries, meat grinder injuries are not uncommon. One of the major challenges in the trauma resuscitation room is the appropriate choice of anesthesia\/analgesia when the patient is still conscious and the second challenge is to find the best way to early extract the patient\u2019s limb out of the machine without adding more suffering. Herein, we presented a 23-year-old male patient who was brought fully conscious in a kneeling position with the right forearm entrapped in a big meat grinder machine with part of the crushed fingers being extruded out of the machine. The patient was in severe pain; however, his vital signs were stable. Analgo-sedation with Midazolam\/Ketamine followed by ultrasound guided upper limb regional anesthesia was used and showed to be a fast and safe alternative in a conscious, not fasting patient when the extremity is still entrapped in a meat grinder machine.<\/jats:p>","DOI":"10.1093\/jscr\/rjac001","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T20:08:42Z","timestamp":1641240522000},"source":"Crossref","is-referenced-by-count":3,"title":["Meat grinder injury of the arm: how to extract an arm safe, fast and pain free: case report and literature review"],"prefix":"10.1093","volume":"2022","author":[{"given":"Ammar","family":"Al-Hassani","sequence":"first","affiliation":[{"name":"Department of Surgery, Trauma Surgery, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca M","family":"Wahlen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A M","family":"Ayasa","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suhail","family":"Hakim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Surgery, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherwan","family":"Khoschnau","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Surgery, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2584-953X","authenticated-orcid":false,"given":"Ayman","family":"El-Menyar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Surgery, Clinical Research, Hamad Medical Corporation, Doha, Qatar"},{"name":"Clinical Medicine, Weill Cornell Medical College, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Al-Thani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma and Vascular Surgery, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"2022021300463603400_ref1"},{"key":"2022021300463603400_ref2"},{"key":"2022021300463603400_ref3","first-page":"55","volume-title":"Proceedings of the 9th International Conference on the Prevention of Accidents at Work","author":"Consunji"},{"key":"2022021300463603400_ref4","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/00000637-198505000-00009","article-title":"Meat grinder injuries to the upper extremity","volume":"14","author":"Brandner","year":"1985","journal-title":"Ann Plast Surg"},{"key":"2022021300463603400_ref5","first-page":"29","article-title":"Meat grinder injury to the hand: serial cases","volume":"40","author":"Lubis","year":"2012","journal-title":"J Orthop Surg"},{"key":"2022021300463603400_ref6","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/0020-1383(90)90068-6","article-title":"Mutilating meat mincer injuries of the hand","volume":"21","author":"Cardoso","year":"1990","journal-title":"Injury"},{"key":"2022021300463603400_ref7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S1366-0071(02)00004-9","article-title":"Prevention of severe phantom limb pain by perioperative administration of ketamine \u2013 an observational study","volume":"4","author":"Dertwinkel","year":"2002","journal-title":"Acute Pain"},{"key":"2022021300463603400_ref8","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1053\/rapm.2001.23934","article-title":"Randomized prospective study comparing preoperative epidural and intraoperative perineural analgesia for the prevention of postoperative stump and phantom limb pain following major amputation","volume":"26","author":"Lambert","year":"2001","journal-title":"Reg Anesth Pain Med"},{"key":"2022021300463603400_ref9","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jclinane.2006.07.008","article-title":"The efficacy of postoperative perineural infusion of bupivacaine and clonidine after lower extremity amputation in preventing phantom limb and stump pain","volume":"19","author":"Madabhushi","year":"2007","journal-title":"J Clin Anesth"},{"key":"2022021300463603400_ref10","doi-asserted-by":"crossref","first-page":"261","DOI":"10.2217\/pmt.14.17","article-title":"Can neural blocks prevent phantom limb pain?","volume":"4","author":"Borghi","year":"2014","journal-title":"Pain Management"},{"key":"2022021300463603400_ref11","first-page":"00293","article-title":"Salvaging an entrapped hand. Unusual injury, unusual management","volume":"7","author":"Maajid","year":"2017","journal-title":"MOJ Orthop Rheumatol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac001\/42496929\/rjac001.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac001\/42496929\/rjac001.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T00:46:51Z","timestamp":1644713211000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac001\/6526719"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac001","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,2]]},"published":{"date-parts":[[2022,2,1]]},"article-number":"rjac001"}}