keyword
https://read.qxmd.com/read/38278679/analgesic-techniques-for-managing-orthopedic-injuries-a-review-for-the-emergency-clinician
#1
JOURNAL ARTICLE
Brit Long, Rachel E Bridwell, Michael Gottlieb
BACKGROUND: Orthopedic injuries are commonly managed in the emergency department (ED) setting. Fractures and dislocations may require reduction for proper management. There are a variety of analgesic and sedative strategies to provide patient comfort during reduction. OBJECTIVE: This narrative review evaluates hematoma block, intra-articular injection, intravenous regional analgesia (IVRA) (also known as the Bier block), and periosteal block for orthopedic analgesia in the ED setting...
October 7, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/37718930/mini-dose-bier-s-block-vs%C3%A2-systemic-analgesia-in-distal-radius-fractures-a-promising-reduction-in-emergency-department-throughput-time
#2
JOURNAL ARTICLE
Mehdi Nasr Isfahani, Keivan Naseh, Keihan Golshani
Aim: This study compared the effect of the conventional technique of procedural sedation and the mini-dose intravenous regional anesthesia (IVRA). Patients & methods: 45 patients received IVRA, and 47 received iv. ketamine. The pain score, emergency department (ED) length of stay and patients' satisfaction were compared. Results: The study revealed that not only the levels of hemodynamic parameters but also their stability, and the patient's satisfaction in the IVRA group were significantly better. The patients' pain score and ED length of stay were also significantly decreased in those who received IVRA...
September 18, 2023: Pain Management
https://read.qxmd.com/read/37276083/regional-anesthesia-as-an-alternative-to-procedural-sedation-for-forearm-fracture-reductions-in-the-pediatric-emergency-department
#3
JOURNAL ARTICLE
Carmen D Sulton, Nicholas Fletcher, Joshua Murphy, Scott Gillespie, Rebecca K Burger
BACKGROUND: Pediatric forearm fractures are common injuries in the pediatric emergency department (PED). Pediatric procedural sedation (PPS) is often required for forearm fracture reductions and pain control for casting. Bier blocks and hematoma blocks are types of regional anesthesia (RA) procedures that can be performed as a potential alternative to PPS. OBJECTIVE: The objective of this study is to compare the safety of RA with that of PPS. We hypothesized that RA has a safety profile that is equal or superior to PPS as well as a shorter duration of treatment in the PED...
June 6, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37254224/ultrasound-guided-supraclavicular-block-versus-bier-block-for-emergency-reduction-of-upper-limb-injuries-a-protocol-for-an-open-label-non-inferiority-randomised-controlled-trial
#4
JOURNAL ARTICLE
Henry Tsao, Christopher Tang, Mark Trembath, Philip Jones, Peter J Snelling
BACKGROUND: Closed reduction of upper limb fractures and/or dislocations are common in the emergency department (ED), which involves physically re-aligning the injured part prior to immobilisation. As this is painful, numerous techniques are available to provide regional anaesthesia to ensure patient tolerance. A Bier block (BB) is typically performed as part of routine care. An alternative technique gaining interest in the ED is ultrasound-guided supraclavicular block (UGSCB), which involves injecting local anaesthetic around the brachial plexus at the supraclavicular fossa under ultrasound guidance...
May 30, 2023: Trials
https://read.qxmd.com/read/36627759/safety-and-efficacy-of-intraosseous-ropivacaine-in-lower-extremity-sore-study
#5
JOURNAL ARTICLE
Marinus D J Stowers, Richard Rahardja, Lance Nicholson, Darren Svirskis, Jacqueline Hannam, Simon W Young
BACKGROUND: Day stay surgery for anterior cruciate ligament (ACL) reconstructions is an increasingly common practice and has driven clinicians to develop postoperative pain regimes that allow same day mobilization and a safe and timely discharge. There is a paucity of literature surrounding the use of intraosseous (IO) ropivacaine used as a Bier's block to provide both intraoperative and postoperative analgesia in lower limb surgery. METHODS: This patient blinded, pilot study randomized 15 patients undergoing ACL reconstruction to receive either IO ropivacaine 1...
January 10, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/36483887/acute-dystonic-reaction-in-the-upper-extremity-following-anesthesia
#6
Mili Patel, Benjamin L Park
We present a case of an 83-year-old female who underwent carpal tunnel release with intravenous regional anesthesia (Bier block) and monitored anesthesia care (MAC). After surgery, the patient developed an abnormal motion of her upper extremity, which was treated as an acute dystonic reaction. Dystonic reactions can occasionally be seen as a post-anesthetic complication, but they are most often associated with antidopaminergic medications. Limbs are rarely affected by dystonic reactions, as they usually affect the head and neck...
November 2022: Curēus
https://read.qxmd.com/read/36373375/analgesic-effect-of-ketorolac-added-to-lidocaine-in-surgery-of-traumatic-arm-injuries-a-double-blind-randomized-clinical-trial
#7
JOURNAL ARTICLE
Afshin Amini, Arash Farbod, Mohamad Hosein Eghbal, Maryam Ghadimi, Ensiyeh Shahriyari
Acute pain after surgery can cause harmful effects. There are many ways to treat pain after surgery. Bier block technique is also a type of intravenous regional anesthesia that is suitable for short and minor surgeries of the arm, wrist, and fingers, so this study aims to compare the analgesic effect of Ketorolac in intravenous injection and when the lidocaine is added to Bier block. In surgery, traumatic injuries to the upper limbs. This study was a clinical trial, randomized and double-blind. The target population was candidates for upper limb orthopedic surgery...
November 8, 2022: European Journal of Translational Myology
https://read.qxmd.com/read/36239973/manipulation-of-distal-radius-fractures-a-comparison-of-bier-s-block-vs-haematoma-block
#8
JOURNAL ARTICLE
B Oakley, C Busby, S Kulkarni, S J Arnold, S S Kulkarni, B J Ollivere
INTRODUCTION: Displaced distal radius fractures often require manipulation under anaesthesia. Many anaesthetic techniques are described, with the two most commonly used being Bier's block (BB) and haematoma block (HB). Despite national guidance preferring a BB, an HB is often performed instead. This study aims to compare the analgesic properties of a BB with those of an HB when manipulating distal radius fractures. METHODS: This is an observational cohort study comparing the management of displaced distal radius fractures requiring reduction across two National Health Service trusts...
May 2023: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/35850181/is-there-a-need-for-postoperative-monitoring-after-open-carpal-tunnel-release-under-walant
#9
JOURNAL ARTICLE
L Lech, R Loucas, S Leitsch, A Vater, J M Mayer, R Giunta, T Holzbach
Open carpal tunnel release (OCTR) under wide-awake local anesthesia with no tourniquet (WALANT) is a common outpatient procedure in hand surgery worldwide. In our clinic, WALANT has replaced intravenous regional anesthesia with a tourniquet (IVRA, or 'Bier block') as standard practice in OCTR. We therefore wondered what the optimal postoperative setting after OCTR under WALANT is. In this study, we compared patient satisfaction in two postoperative settings: immediate discharge (ID) after the operation, or short postoperative monitoring (PM) period in the outpatient clinic...
October 2022: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/35624418/a-sequential-allocation-study-to-determine-the-ed-50-of-dexmedetomidine-as-an-adjuvant-to-lidocaine-intravenous-regional-anesthesia
#10
JOURNAL ARTICLE
Cynthia Karam, Sadek Al Assadi, Ghassan Kanazi, Carine Zeeni
BACKGROUND: Intravenous regional anesthesia is an easy and reliable anesthetic technique, but its use is limited by tourniquet pain. Clonidine is effective in overcoming this shortcoming when used with intravenous regional anesthesia at a dose of 1 μg/kg. Dexmedetomidine has also been used successfully at a dose of 0.5 μg/kg. OBJECTIVE: Based on the potency ratios of clonidine and dexmedetomidine (8 to 1) we hypothesize that a lower dexmedetomidine dose would provide patients with 50 min of pain free tourniquet time...
May 27, 2022: BMC Anesthesiology
https://read.qxmd.com/read/35536765/a-12-year-review-of-clinical-practice-patterns-in-dupuytren-contracture-based-on-continuous-certification-by-the-american-board-of-plastic-surgery
#11
REVIEW
Selcen S Yuksel, Nikhil D Shah, Daniel C Sasson, Aaron M Kearney, William Dzwierzynski, Arun K Gosain
BACKGROUND: The American Board of Plastic Surgery collects data on 20 common plastic surgery operations as part of the Continuous Certification process. The goal of this study was to describe clinical trends in Dupuytren contracture repair since 2008 as they relate to evidence-based medicine articles published in this timeframe. METHODS: Cumulative tracer data for Dupuytren contracture were reviewed for the period from February of 2008 to March of 2020 and compared with evidence-based medicine articles published in Plastic and Reconstructive Surgery ...
July 1, 2022: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/35415544/open-carpal-tunnel-release-under-walant-suitable-for-all-ages
#12
JOURNAL ARTICLE
Laura Lech, Sebastian Leitsch, Christian Krug, Mario Bonaccio, Elisabeth Haas, Thomas Holzbach
Purpose: Wide-awake local anesthesia with no tourniquet (WALANT) as a walk-in procedure has become a standard technique in open carpal tunnel release (OCTR) and continues to replace the long-established intravenous regional anesthesia with a tourniquet (IVRA/"bier-block") in our clinic. The aim of this study was to compare patient satisfaction with either WALANT or IVRA/"bier-block" and define subgroups that are particularly suited for either of the two procedures. We hypothesized that older patients would prefer IVRA because of a shorter period of postoperative surveillance...
May 2021: Journal of hand surgery global online
https://read.qxmd.com/read/35340973/comparison-of-lidocaine-dexmedetomidine-and-lidocaine-saline-on-the-characteristics-of-the-modified-forearm-bier-block-a-clinical-trial
#13
JOURNAL ARTICLE
Kamal Ghaderi, Khaled Rahmani, Nasser Rahmanpanah, Shoaleh Shami, Farhad Zahedi, Karim Nasseri
Background and Aims: Forearm Modified Bier Block (FMBB) reduces local anesthetic systemic toxicity risks compared to the traditional method. This study was designed and implemented to compare the effects of lidocaine-dexmedetomidine (LD) and lidocaine-saline (LS) on the characteristics of the MFBB in distal forearm and hand surgery. Material and Methods: In this randomized double-blind trial, which was conducted after obtaining institutional ethical committee approval, 60 patients were enrolled and randomly divided into two groups...
October 2021: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/35322971/a-comprehensive-review-of-the-use-of-alpha-2-agonists-in-spinal-anesthetics
#14
REVIEW
Ruben H Schwartz, Stephanie Hernandez, Nazir Noor, Jacob Topfer, Kyle Farrell, Naina Singh, Ayushi Sharma, Giustino Varrassi, Alan D Kaye
BACKGROUND: Spinal Anesthesia was the first regional anesthetic technique to be performed. It was performed by Dr. August Bier, known for the Bier block, and his colleagues on August 16, 1898. Dr. Bier opted for, what he referred to at the time as "cocainization of the spinal cord" by introducing 15 mg of cocaine intrathecally prior to the operation. The surgery was largely uneventful and painless. The patient only experienced some vomiting and a headache postoperatively. Dr. Bier's use of neuraxial anesthesia aimed to directly inject local anesthetics in and around the central nervous system (CNS) for more direct control of pain and anesthesia...
March 2022: Pain Physician
https://read.qxmd.com/read/35129384/the-what-why-and-when-of-wide-awake-local-anaesthesia-no-tourniquet-surgery
#15
REVIEW
Jamal Khudr, Luke Hughes, Fizan Younis
Wide awake local anaesthesia no tourniquet, also known as WALANT, is the practice of performing surgery under local anaesthetic in the absence of a tourniquet. This technique uses the vasoconstrictive effects of adrenaline and the local anaesthetic effects of lignocaine to establish a Bier block with haemostatic control. Permitting active patient participation intraoperatively, wide awake local anaesthesia no tourniquet surgery improves patient compliance with rehabilitation and yields higher patient satisfaction...
January 2, 2022: British Journal of Hospital Medicine
https://read.qxmd.com/read/34854417/comparative-analgesic-hemodynamic-pain-and-duration-of-sensory-and-motor-block-effects-of-dexmedetomidine-granisetron-and-nitroglycerin-added-to-ropivacaine-in-intravenous-anesthesia-for-forearm-surgeries-a-randomized-clinical-study
#16
RANDOMIZED CONTROLLED TRIAL
Esmail Moshiri, Hesameddin Modir, Alireza Kamali, Mehran Azami, Morteza Molouk
This trial-based paper strives to address the comparative efficacy of some ropivacaine adjuvant options, comprising dexmedetomidine, granisetron, and nitroglycerin, on pain and hemodynamic changes in intravenous anesthesia for forearm surgeries. This double-blind, placebo-controlled study enrolled four block-randomized eligible groups with patients (overall, n=128) undergoing orthopedic forearm surgeries in the dexmedetomidine, nitroglycerin, granisetron, and placebo groups. Intra- and post-operative vital signs (mean arterial pressure/heart rate/ oxygen saturation) were monitored at baseline and captured every 10 minutes until the end of the surgery, as well as the onset of sensory and motor block and length and duration of the block and mean opioid use within 24 hours...
July 2022: Medical Gas Research
https://read.qxmd.com/read/34743126/techniques-to-relieve-pain-associated-with-botulinum-injections-for-palmar-and-plantar-hyperhidrosis
#17
REVIEW
Sarah Nasser, Mehdi Farshchian, Arash Kimyai-Asadi, Geoffrey A Potts
BACKGROUND: Palmar and plantar hyperhidrosis (HH) is a common condition characterized by excessive sweating of the palms and soles. Botulinum neurotoxin (BTX) is a very effective and safe treatment. However, the associated intense injection pain is a major limiting factor deterring patients from selecting this treatment. OBJECTIVE: The aim of this study was to review the numerous techniques used to minimize pain accompanying injections for palmoplantar HH. Additionally, the advantages and limitations of each modality will be discussed...
December 1, 2021: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://read.qxmd.com/read/34644765/walant-versus-intravenous-regional-anesthesia-for-carpal-tunnel-syndrome-a-randomized-clinical-trial
#18
JOURNAL ARTICLE
Aldo Okamura, Vinicius Ynoe de Moraes, Marcela Fernandes, Jorge Raduan-Neto, João Carlos Belloti
BACKGROUND: There are several anesthetic techniques for surgical treatment of carpal tunnel syndrome (CTS). Results from this surgery using the "wide awake local anesthesia no tourniquet" (WALANT) technique have been described. However, there is no conclusive evidence regarding the effectiveness of the WALANT technique, compared with the usual techniques. OBJECTIVE: To evaluate the effectiveness of the WALANT technique, compared with intravenous regional anesthesia (IVRA; Bier's block), for surgical treatment of CTS...
October 11, 2021: São Paulo Medical Journal
https://read.qxmd.com/read/34552422/safety-and-efficacy-of-forearm-tourniquet-compared-to-upper-arm-tourniquet-for-local-intravenous-regional-anesthesia-in-hand-surgery-a-randomized-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
Alexander J Volkmar, Molly A Day, Ignacio Garcia Fleury, Ericka A Lawler, Melinda Seering, Lindsey S Caldwell
BACKGROUND: Forearm tourniquets may offer decreased doses of anesthetic, shorter procedure times, and less pain compared to upper arm tourniquets. There is limited data comparing the clinical efficacy of forearm Bier blocks to conventional upper arm Bier blocks. The purpose of this study was to assess the effectiveness, complications, duration, cost, and patient satisfaction between forearm and upper arm Bier blocks during surgery. METHODS: Sixty-six carpal tunnel release, ganglion excision, or trigger finger procedures were performed...
2021: Iowa Orthopaedic Journal
https://read.qxmd.com/read/34459117/length-of-stay-outcomes-in-patients-receiving-ketamine-sedation-versus-bier-s-block-anaesthesia-for-procedural-closed-fracture-reduction-a-retrospective-audit-of-paediatric-emergency-department-patients
#20
JOURNAL ARTICLE
Alex Kwong, Emogene S Aldridge, Rachith Jayawardana, Anna Brookwick, Joseph Miller, Paul G Buntine
OBJECTIVE: To compare length of stay (LOS) for paediatric patients receiving ketamine sedation or Bier's block anaesthesia for procedural closed fracture reduction. METHODS: We conducted a retrospective audit of paediatric ED patients aged 3-18 years presenting at one of three metropolitan hospitals in Victoria, Australia (2012-2017). Outcomes were post-procedural LOS (PPLOS), total LOS, incidence of ketamine and Bier's block procedures, and recorded adverse effects...
August 29, 2021: Emergency Medicine Australasia: EMA
keyword
keyword
158186
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.