Barnes C L, Blasier R D, Dodge B M
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock 72205.
J Pediatr Orthop. 1991 Nov-Dec;11(6):717-20.
We reviewed our most recent 100 consecutive cases with respect to efficacy and safety of anesthesia in which Bier block anesthesia was used to reduce upper extremity fractures. Records were reviewed to document diagnosis, number of reduction attempts, efficacy of anesthesia, and incidence of complications and untoward effects. No adverse effects were noted from lidocaine injection or tourniquet release. The cost of Bier block anesthesia administered in the emergency room (ER) was significantly less than that of a general anesthetic in the operating room. We have found the Bier block to be a safe, reliable, and cost-effective anesthetic in treatment of children's upper extremity fractures in the ER.
我们回顾了最近连续100例使用上肢骨折的Bier阻滞麻醉的病例，以评估麻醉的有效性和安全性。审查记录以记录诊断、复位尝试次数、麻醉效果以及并发症和不良反应的发生率。未观察到利多卡因注射或止血带松解的不良反应。在急诊室（ER）进行Bier阻滞麻醉的成本明显低于在手术室进行全身麻醉的成本。我们发现Bier阻滞麻醉在急诊室治疗儿童上肢骨折时是一种安全、可靠且具有成本效益的麻醉方法。
