Mini-Dose Bier’s Block VS Systemic Analgesia in Distal Radius Fractures: A Promising Reduction in Emergency Department Throughput Time

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)

Keywords::

• distal radius fracture
• ED length of stay
• intravenous regional anesthesia
• pain
• procedural sedation

Acknowledgments

The authors wish to thank ED staff working at Al-Zahra and Kashani University Hospitals for their constructive cooperation.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations.

In addition, for investigations involving human subjects, informed consent has been obtained from the participants involved.

Data sharing statement

The authors certify that this manuscript reports original clinical trial data. Deidentified, individual data that underlie the results reported in this article (text, tables, figures and appendices), along with the study protocol will be available indefinitely to anyone who wants to access them.