Comparison of Periosteal Block to. Biers Block (Intravenous Regional Anaesthesia) for the reduction of distal radius fractures

Not Applicable

Completed

• Conditions: distal radius fracture; Anaesthesiology - Pain management; Injuries and Accidents - Fractures

• Registration Number: ACTRN12618000226202
• Lead Sponsor: niversity of Otago

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-02-12
• Study Completion: 2021-03-01
• Last Update Posted: 26 July 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Patients 16 years or older with a distal radius fracture undergoing closed reduction in the Emergency Department are eligible. This will include fractures where closed reduction is performed as definitive management and cases in which reduction is performed in the ED prior to definitive operative reduction and fixation.

Exclusion Criteria

Exclusion Criteria: Open fractures, patients unable to provide consent, evidence of compartment syndrome, lignocaine or local anaesthetic allergy, history of sickle cell disease or Raynauds, patients with severe distracting injury, severe peripheral vascular disease, systolic BP >200, severe hepatic failure, or need for bilateral manipulation.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
We will compare of pain score using 100mm visual analogue scale (VAS) during manipulation for patients undergoing periosteal block to those undergoing Intravenous Regional Anaesthesia (IVRA).<br>[Immediately following fracture reduction ]

Secondary Outcome Measures

Name	Time	Method
(ii) re-manipulation rates of the two techniques assessed by physician self reporting <br>[Assessed by questionnaire designed specifically for this study during ED visit];(iii) provider assessment of ease of performance of the periosteal block compared to IVRA.<br><br>[Assessed by questionnaire designed specifically for this study during ED visit];iv) emergency department length of stay for the two groups.<br><br>[Assessed by time stamps performed in electronic medical record during ED visit];(v) comparison of adequate reduction rates for the two groups, Assessed by retrospective physician review of radiology imaging performed during initial ED visit[ within 1 month after ED visit]