![]() They concluded that there was inadequate evidence of robust quality to make an adequate comparison of the various techniques. However, haematoma block is quicker, easier to perform and less intensive on resources. All methods were effective but regional block was probably more effective than haematoma block. It also looked at associated physical techniques and drug adjuncts used for the management of distal radial fractures in adults. A Cochrane review examined the main methods of anaesthesia: haematoma block, intravenous regional anaesthesia (IVRA), regional nerve blocks, conscious sedation (also known as 'moderate sedation/analgesia') and general anaesthesia.It is also necessary to wait until at least four hours after anything was taken by mouth. General anaesthesia is effective but even a brief anaesthetic has risks, especially in the elderly or those with medical problems.Manipulation of broken bones is very painful some form of anaesthesia is required.In older people the cosmetic result may be subservient to the need for a good functional result. Displacement of fractures, dislocation or subluxation must be reduced.If there is neurovascular compromise, urgent fracture reduction may be needed.Provide analgesia whilst waiting for X-ray.Assess for deformity and examine for any skin defects that might lead to a diagnosis of a compound fracture.Assess Airway, Breathing and Circulation and manage as necessary.Wrist fractures treatment and management Does the patient feel that it is unstable?. ![]()
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