Mini-dose Bier′s block vs systemic analgesia in distal radius fractures: a promising reduction in emergency department throughput time

Abstract

This study compared the effect of the conventional technique of procedural sedation and the minidose 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 thosewho received IVRA. Conclusion: Minidose IVRA technique contributes to better hemodynamic stability, without prominent adverse events, and leads to significant pain control and improved ED throughput time.