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Title: Bier's block--the experience of Australian emergency departments.
Austin Authors: Lowen, R;Taylor, J
Affiliation: Emergency Department, Heidelberg Repatriation Hospital.
Issue Date: 7-Feb-1994
Publication information: Medical Journal of Australia; 160(3): 108-11
Abstract: To describe the current use, effectiveness and safety of Bier's block within Australian emergency departments.A review of clinical practice based on an opinion survey of directors of emergency departments.Directors of 120 private and public hospital emergency departments.A response rate of 97% was achieved. Bier's block was used in 67% of Australian emergency departments. Emergency department medical staff performed the procedure in 83% of these hospitals. It was estimated that 7500 emergency department Bier's blocks were performed each year. Ninety-six per cent of respondents found Bier's block to produce adequate regional anaesthesia. Reported complications or adverse reactions were extremely rare. A wide variation in procedural approach was evident.Bier's block is a popular, reliable and relatively safe anaesthetic technique for use in emergency departments. Increased surveillance of local anaesthetic morbidity associated with the technique, as well as a standardisation of the procedure in the emergency department setting, are required.
Gov't Doc #: 8295574
Journal: Medical Journal of Australia
Type: Journal Article
Subjects: Anesthesia, Conduction.adverse effects.statistics & numerical data.utilization
Anesthesia, General.statistics & numerical data.utilization
Anesthesia, Intravenous.statistics & numerical data.utilization
Emergency Service, Hospital.standards.statistics & numerical data
Monitoring, Physiologic
Prilocaine.adverse effects
Treatment Outcome
Appears in Collections:Journal articles

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