Bier's block for emergency department management of distal radius fractures
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摘要Background: Distal radius fractures commonly present to emergency departments (ED). Optimum treatment methods remain unclear and individual hospital practices differ. Objectives: To ascertain the number and Success rate of manipulation under intravenous regional anaesthesia (IVRA) of distal radius fractures, and to determine the re-manipulation rate. Methods: Retrospective observational study of patients undergoing manipulation of distal radius fracture under IVRA in the ED from January 2003 to January 2004. The resuscitation room procedure log, hospital computer records, ED records and theatre records were examined for each patient. Results: A total of 84 manipulations were performed. Complete information was available for 74 procedures (73 patients). Manipulation was successful in 73.5% with only 19 Out of 73 patients requiring operation. All patients were manipulated under IVRA with middle grade or consultant supervision; and 52 (71.2%) patients were managed entirely as outpatients. Conclusion: Our policy of manipulating displaced distal radius fractures under IVRA in the ED has a high Success rate and allows the majority of patients to be managed as outpatients. This policy may lead to cost savings from a health service financing perspective. (Hong Kong j.emerg.med. 2009;16:21-25)
著者Richards CH, Graham CA, Munro PT
期刊名稱HONG KONG JOURNAL OF EMERGENCY MEDICINE
出版年份2009
月份1
日期1
卷號16
期次1
出版社MEDCOM LTD
頁次21 - 25
國際標準期刊號1024-9079
語言英式英語
關鍵詞Colles' fracture; intravenous anesthesia; local anesthetics; prilocaine
Web of Science 學科類別Emergency Medicine; EMERGENCY MEDICINE

上次更新時間 2020-16-10 於 00:33