Background: There are three methods for procedural sedation in upper extremity traumas;
systemic, regional and local anesthesia. There is controversy in the literature regarding the
method of choice for this purpose.
Objectives: The aim of this study was to compare conscious sedation and Bier's block methods
for pain reduction in upper extremity trauma patients.
Patients and Methods: This was a randomized clinical trial. Patients were randomly allocated
to either the Bier's block or the conscious sedation group. Pain reduction was assessed by a
numerical rating scale; patients, surgeons and physicians responsible for analgesia
satisfaction were assessed using a five-point Likert scale.
In this study, we aimed to compare the effectiveness, complications, duration, hemodynamic
stability and patient and physician satisfaction between systemic analgesia and Bier's block
method performed at the emergency department.