Anaesthesia and analgesia in the emergency care setting for treating distal radius fractures in adults

Gao, Jocelyn Fang Jiao; Yeo, Jun Wei; Ho, Andrew Fu Wah; Goh, Amelia Xin Chun; Tan, Bien-Keem; Chong, Shu Ling; Sng, Ban Leong; Chan, Edwin Sy; Ong, Marcus Eng Hock; Siddiqui, Fahad Javaid

doi:10.1002/14651858.cd015104

Cited by 1 publication

(1 citation statement)

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“…A review from 2002 concluded that the efficacy of closed reduction of DRF remains unknown due to insufficient evidence 8 . A recently published protocol for a systematic review investigated various pain relief methods for closed reduction 16 . However, the present protocol describes a systematic review that specifically examines the role of PNBs in the closed reduction of DRF, including trial sequential analysis (TSA).…”

Section: Introductionmentioning

confidence: 99%

Peripheral nerve blocks for closed reduction of distal radius fractures—A protocol for a systematic review

Pisljagic,

Temberg,

Steensbæk

et al. 2023

Acta Anaesthesiol Scand

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BackgroundCurrent methods of anaesthesia used for closed reduction of distal radial fractures may be insufficient for pain relief and muscle relaxation, potentially compromising reduction quality and patient satisfaction. Peripheral nerve blocks have already been implemented for surgery of wrist fractures and may provide optimal conditions for closed reduction due to complete motor and sensory blockade of the involved nerves. However, existing literature on peripheral nerve blocks for closed reduction is sparse, and no updated systematic review or meta‐analysis exists.AimsThis protocol is developed according to the PRISMA‐P statement. The systematic review and meta‐analysis aim to consolidate the literature regarding the effect and harm of peripheral nerve blocks compared with other anaesthesia modalities for closed reduction of distal radius fractures in adults.MethodsThe two primary outcomes are the proportion of participants needing surgery after closed reduction and pain during closed reduction. We will only include randomised clinical trials. Two review authors will each independently screen literature, extract data, and assess risk of bias with Risk of Bias 2 Tool. Meta‐analysis will be carried out with Rstudio. We will also perform a Trial Sequential Analysis. The certainty of evidence will be judged using GRADE guidelines.DiscussionWe will use up‐to‐date methodology when conducting the systematic review outlined in this protocol. The results may guide clinicians in their decision‐making regarding the use of anaesthesia for closed reduction of distal radius fractures in adults.

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Section: Introductionmentioning

confidence: 99%