Farrell R G, Swanson S L, Walter J R
Ann Emerg Med. 1985 Mar;14(3):239-43. doi: 10.1016/s0196-0644(85)80447-9.
The mini-dose Bier block, a technique of intravenous (IV) regional anesthesia that uses low-dose lidocaine and provides safe and effective anesthesia for outpatient closed reductions of upper extremity fractures and dislocations, is presented. This procedure was evaluated in two hospital emergency departments in 105 patients (ages 2 to 86). Ninety-five percent achieved adequate anesthesia (minimal or no pain on closed reduction). No significant complications were noted. Full neurologic function returned in ten minutes in all cases. Both patient and physician satisfaction with the procedure were high. The mini-dose Bier block creates the potential for significant cost savings in cases previously treated in the operating room by providing a safe, effective technique of IV regional anesthesia for outpatient use.
介绍了小剂量比尔阻滞，这是一种静脉区域麻醉技术，使用低剂量利多卡因，为门诊上肢骨折和脱位的闭合复位提供安全有效的麻醉。该手术在两家医院急诊科对105例患者（年龄2至86岁）进行了评估。95%的患者获得了充分的麻醉（闭合复位时疼痛轻微或无疼痛）。未观察到明显并发症。所有病例在10分钟内神经功能完全恢复。患者和医生对该手术的满意度都很高。小剂量比尔阻滞通过提供一种安全、有效的门诊静脉区域麻醉技术，为以前在手术室治疗的病例创造了显著节省成本的潜力。
