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Title: Comparison of forearm and conventional bier's blocks for manipulation and reduction of distal radius fractures
Authors: Chong, A.K.S.
Tan, D.M.K.
Ooi, B.S.
Mahadevan, M.
Lim, A.Y.T.
Lim, B.H. 
Keywords: Bier's block
distal radius fracture
hand surgery
regional anaesthesia
Issue Date: 2007
Citation: Chong, A.K.S., Tan, D.M.K., Ooi, B.S., Mahadevan, M., Lim, A.Y.T., Lim, B.H. (2007). Comparison of forearm and conventional bier's blocks for manipulation and reduction of distal radius fractures. Journal of Hand Surgery 32 (1) : 57-59. ScholarBank@NUS Repository.
Abstract: Forearm-based Bier's block has been advocated as a useful anaesthesic technique in hand surgery. However, there is limited data comparing forearm blocks with the conventional Bier's block. We conducted a randomised controlled trial (n = 30) comparing the two techniques of anaesthesia for manipulation and reduction of closed distal radius fractures in an emergency room setting. Pain scores measured using the Visual Analogue Scale during the procedure were used as the primary outcome assessment. There was no significant difference in pain scores between the forearm and conventional Bier's block (mean VAS 18.4 SD 22.10 versus 33.7 SD 29.6). No major complications were observed in either group. The forearm-based Bier block is an effective alternative to the conventional block. © 2006 The British Society for Surgery of the Hand.
Source Title: Journal of Hand Surgery
ISSN: 02667681
DOI: 10.1016/j.jhsb.2006.10.002
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