PMID: 8581243Sep 1, 1995Paper

A tide of change in the management of an old fracture?

Journal of Accident & Emergency Medicine
J M KendallS E McCabe

Abstract

Colles' fractures are manipulated under a variety of anaesthetic techniques. An increasing awareness of cost and time within the National Health Service contributes to a marked change in the anaesthetic management of Colles' fractures. This paper presents the results of a survey of the anaesthetic techniques used in the larger accident and emergency (A&E) departments of the UK, and demonstrates the increasing popularity of the haematoma block compared with 5 years ago (7% in 1989 vs. 33% in 1994), at the expense of the general anesthetic (44% in 1989 vs 24% in 1994). The popularity of the Bier's block has remained unchanged (33% in 1989 and 1994). Local and regional anaesthetic techniques can be safely performed by A&E doctors, with appropriate monitoring, and this has beneficial resource implications for the anaesthetic department and the hospital.

References

Sep 1, 1990·Archives of Emergency Medicine·K Bartholomew, J P Sloan
Nov 25, 1989·BMJ : British Medical Journal·J B HunterS A Harries
May 1, 1989·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E M BrownR W Malinowski
Jun 1, 1985·Archives of Emergency Medicine·J WardropeD H Wilson

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Citations

Jan 18, 2003·Injury·A BasuI A Harvey
Jun 25, 1998·Journal of Accident & Emergency Medicine·A Lockey
Jul 30, 2016·PloS One·Robin HaunschildWerner Marx
Jul 26, 2002·The Cochrane Database of Systematic Reviews·H H HandollC Dodds
Aug 28, 2020·Journal of Orthopaedic Surgery and Research·Tazio MaleitzkeSerafeim Tsitsilonis

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