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Mini-Dose Bier's Block Vs Systemic Analgesia in Distal Radius Fractures: A Promising Reduction in Emergency Department Throughput Time Publisher Pubmed



Isfahani MN1, 2 ; Naseh K1 ; Golshani K1
Authors
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Authors Affiliations
  1. 1. Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, 8174675731, Iran
  2. 2. Trauma Data Registration Center, Al-Zahra University Hospital, Isfahan University of Medical Sciences, Isfahan, 8174673461, Iran

Source: Pain Management Published:2023


Abstract

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. Conclusion: Mini-dose IVRA technique contributes to better hemodynamic stability, without prominent adverse events, and leads to significant pain control and improved ED throughput time. Clinical Trial Registration: NCT03349216 (ClinicalTrials.gov. © 2023 Future Medicine Ltd.
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