Pickering S A W, Hunter J B
Department of Trauma and Orthopaedic Surgery, University Hospital, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Surgeon. 2003 Oct;1(5):283-5. doi: 10.1016/s1479-666x(03)80046-x.
To examine the safety of prilocaine Bier's block performed for Colles fracture manipulation, and assess patient satisfaction.
Fifteen-year retrospective review of all patients undergoing Colles fracture manipulation with a prilocaine Bier's block looking for the incidence of significant neurological or cardiovascular events. A confidential questionnaire was administered to 50 consecutive patients to assess patient satisfaction with the method of anaesthesia.
1504 males with mean age 48 years and 5906 females with mean age 66 years received a prilocaine Bier's block for distal radial fracture manipulation. There were no documented incidences of anaphylaxis, arrhythmia, convulsions or collapse. Of 50 consecutive patients, all but two were satisfied with this form of anaesthesia. The pressure cuff inflation was considered the worst part of the procedure.
Bier's block performed with prilocaine is at least as safe as other commonly used methods of anaesthesia for distal radial fracture reduction with high patient satisfaction. The procedure can be safely carried out by a single medical practitioner with appropriate patient monitoring and assistance from trained nursing staff.
探讨用于Colles骨折整复的丙胺卡因静脉局部麻醉的安全性，并评估患者满意度。
对所有接受丙胺卡因静脉局部麻醉进行Colles骨折整复的患者进行15年回顾性研究，以查找严重神经或心血管事件的发生率。对50例连续患者进行保密问卷调查，以评估患者对麻醉方法的满意度。
1504例平均年龄48岁的男性和5906例平均年龄66岁的女性接受了丙胺卡因静脉局部麻醉以进行桡骨远端骨折整复。没有记录到过敏反应、心律失常、惊厥或虚脱的发生。在50例连续患者中，除2例患者外，其余均对这种麻醉方式满意。压力袖带充气被认为是该操作最糟糕的部分。
丙胺卡因用于静脉局部麻醉至少与其他常用于桡骨远端骨折复位的麻醉方法一样安全，患者满意度高。在经过培训的护理人员的适当患者监测和协助下，该操作可由一名执业医师安全进行。
