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Anaesthesia for treating distal radial fracture in adults

  1. Helen HG Handoll1,*,
  2. Rajan Madhok2,
  3. Chris Dodds3

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 22 JUL 2002

Assessed as up-to-date: 5 JAN 2004

DOI: 10.1002/14651858.CD003320


How to Cite

Handoll HHG, Madhok R, Dodds C. Anaesthesia for treating distal radial fracture in adults. Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD003320. DOI: 10.1002/14651858.CD003320.

Author Information

  1. 1

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

  2. 2

    University of Manchester, Cochrane Bone, Joint and Muscle Trauma Group, Manchester, UK

  3. 3

    James Cook University Hospital, Sleep Disorders Clinic, Middlesbrough, UK

*Helen HG Handoll, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, University of Teesside, School of Health and Social Care, Middlesborough, Tees Valley, TS1 3BA, UK. h.handoll@tees.ac.uk. H.Handoll@ed.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 22 JUL 2002

SEARCH

[Analysis 1.1]
Analysis 1.1. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 1 Pain.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 2 Pain and preferences.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 3 Re-manipulation.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 4 Post reduction anatomical measurements.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 5 Poor quality of reduction and anatomical scores.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 6 Later redislocation/re-reduction of fracture.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 7 Operator judgement of effectiveness of procedure (linear analogue scale).
[Analysis 1.8]
Analysis 1.8. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 8 Timing of procedure.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 9 Adverse effects/Complications.
[Analysis 1.10]
Analysis 1.10. Comparison 1 Intravenous regional anaesthesia (IVRA) versus haematoma block, Outcome 10 Poor functional score.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Nerve block (at elbow) versus haematoma block, Outcome 1 Pain (moderate or severe) during procedure.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Nerve block (at elbow) versus haematoma block, Outcome 2 Poor wrist relaxation during procedure.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Intravenous sedation versus haematoma block, Outcome 1 Pain during reduction: visual analogue scale (0: no pain to 10: excruciating pain).
[Analysis 3.2]
Analysis 3.2. Comparison 3 Intravenous sedation versus haematoma block, Outcome 2 Pain during reduction: VAS score > 3 for procedure (0: no pain; 10: excruciating pain).
[Analysis 3.3]
Analysis 3.3. Comparison 3 Intravenous sedation versus haematoma block, Outcome 3 Time for fracture reduction.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Intravenous sedation versus haematoma block, Outcome 4 Radiological result at 8 weeks.
[Analysis 3.5]
Analysis 3.5. Comparison 3 Intravenous sedation versus haematoma block, Outcome 5 Adverse effects.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Intravenous sedation versus haematoma block, Outcome 6 Substantial rest pain at 8 weeks.
[Analysis 3.7]
Analysis 3.7. Comparison 3 Intravenous sedation versus haematoma block, Outcome 7 Substantial stiffness at 8 weeks.
[Analysis 4.1]
Analysis 4.1. Comparison 4 General intravenous anaesthesia versus haematoma block, Outcome 1 Radial length shortening.
[Analysis 4.2]
Analysis 4.2. Comparison 4 General intravenous anaesthesia versus haematoma block, Outcome 2 Residual dorsal deformity.
[Analysis 4.3]
Analysis 4.3. Comparison 4 General intravenous anaesthesia versus haematoma block, Outcome 3 Timing of procedure.
[Analysis 5.1]
Analysis 5.1. Comparison 5 General anaesthesia versus sedation (diazepam), Outcome 1 Reactions during reduction of fracture.
[Analysis 5.2]
Analysis 5.2. Comparison 5 General anaesthesia versus sedation (diazepam), Outcome 2 Quality of initial reduction/redisplaced at 6 weeks.
[Analysis 5.3]
Analysis 5.3. Comparison 5 General anaesthesia versus sedation (diazepam), Outcome 3 Adverse effects.
[Analysis 5.4]
Analysis 5.4. Comparison 5 General anaesthesia versus sedation (diazepam), Outcome 4 Patient apprehension if given same method of anaesthesia again.
[Analysis 6.1]
Analysis 6.1. Comparison 6 General IV anaesthesia versus haematoma block + sedation (midazolam), Outcome 1 Radial length shortening.
[Analysis 6.2]
Analysis 6.2. Comparison 6 General IV anaesthesia versus haematoma block + sedation (midazolam), Outcome 2 Residual dorsal deformity.
[Analysis 6.3]
Analysis 6.3. Comparison 6 General IV anaesthesia versus haematoma block + sedation (midazolam), Outcome 3 Timing of procedure.
[Analysis 7.1]
Analysis 7.1. Comparison 7 Location of IVRA injection site: antecubital fossa versus hand dorsum, Outcome 1 Procedural problems and adverse effects.
[Analysis 8.1]
Analysis 8.1. Comparison 8 Application of an additional tourniquet during IVRA, Outcome 1 Time to clinical anaesthesia (minutes).
[Analysis 9.1]
Analysis 9.1. Comparison 9 Brachial plexus block technique: proximal cranial needle (PCN) versus Winnie and Collins (W+C), Outcome 1 Adverse effects (whole group).
[Analysis 10.1]
Analysis 10.1. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 1 Failed reduction/re-manipulation.
[Analysis 10.2]
Analysis 10.2. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 2 Additional analgesic required.
[Analysis 10.3]
Analysis 10.3. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 3 Unacceptable reduced position of fracture.
[Analysis 10.4]
Analysis 10.4. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 4 Duration of tourniquet application (minutes) - whole group.
[Analysis 10.5]
Analysis 10.5. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 5 Timing of sensorial and motor blockade - whole group.
[Analysis 10.6]
Analysis 10.6. Comparison 10 Muscle relaxant supplement to IVRA, Outcome 6 Adverse effects/Complications.
[Analysis 11.1]
Analysis 11.1. Comparison 11 Analgesic (tenoxicam) supplement to IVRA, Outcome 1 Tourniquet time (minutes).
[Analysis 11.2]
Analysis 11.2. Comparison 11 Analgesic (tenoxicam) supplement to IVRA, Outcome 2 Time to first analgesia (minutes).
[Analysis 11.3]
Analysis 11.3. Comparison 11 Analgesic (tenoxicam) supplement to IVRA, Outcome 3 Number of painkillers (co-dydramol) in 24 hours.
[Analysis 11.4]
Analysis 11.4. Comparison 11 Analgesic (tenoxicam) supplement to IVRA, Outcome 4 Pain: numerical rating scale (0: no pain to 10: worst imaginable) in 24 hours.
[Analysis 11.5]
Analysis 11.5. Comparison 11 Analgesic (tenoxicam) supplement to IVRA, Outcome 5 Moderate or severe pain in first 24 hours.
[Analysis 12.1]
Analysis 12.1. Comparison 12 Sedative (midazolam) supplement to haematoma block, Outcome 1 Radial length shortening.
[Analysis 12.2]
Analysis 12.2. Comparison 12 Sedative (midazolam) supplement to haematoma block, Outcome 2 Residual dorsal deformity.
[Analysis 12.3]
Analysis 12.3. Comparison 12 Sedative (midazolam) supplement to haematoma block, Outcome 3 Timing of procedure.
[Analysis 13.1]
Analysis 13.1. Comparison 13 Hyaluronidase (enzyme) supplement to haematoma block, Outcome 1 Unsuccessful manipulation.
[Analysis 14.1]
Analysis 14.1. Comparison 14 Clonidine supplement to brachial plexus block, Outcome 1 Sensory blockade at 10 minutes (VAS: 0 (complete) to 100 (none)).
[Analysis 14.2]
Analysis 14.2. Comparison 14 Clonidine supplement to brachial plexus block, Outcome 2 Sensory blockade at 30 minutes (VAS: 0 (complete) to 100 (none)).
[Analysis 14.3]
Analysis 14.3. Comparison 14 Clonidine supplement to brachial plexus block, Outcome 3 Duration of motor blockade (minutes).
[Analysis 15.1]
Analysis 15.1. Comparison 15 Bupivacaine versus prilocaine for IVRA, Outcome 1 Pain during procedure.
[Analysis 15.2]
Analysis 15.2. Comparison 15 Bupivacaine versus prilocaine for IVRA, Outcome 2 Unacceptable/poor result.
[Analysis 15.3]
Analysis 15.3. Comparison 15 Bupivacaine versus prilocaine for IVRA, Outcome 3 Adverse effects.