Bier's Block Versus Systemic Analgesia

• Status: Unknown status
• Trial end date: 2018-04-01
• Target enrollment: 0
• Participant gender: All

Summary

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.

• Phase: Phase 2
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Isfahan University of Medical Sciences
• Treatments: Anesthetics

Criteria

Inclusion Criteria:

• All adult patients (aged 18 or more) with upper extremity trauma who need procedural analgesia

Exclusion Criteria:

• Patients with a history of seizure

• Known allergy to analgesic substances

• Sickle cell anemia,

• Peripheral vascular disease and arteriovenous fistula

• Infection in upper extremities

• Patients who need emergent intervention/s that last more than one hour are also excluded from the study.