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Anaesthesia for open wrist fracture surgery in adults/elderly

Sellbrandt, Irene ; Brattwall, Metha ; Warrén Stomberg, Margareta ; Jildenstål, Pether LU and Jakobsson, Jan G. (2017) In F1000Research 6. p.1-10
Abstract

Anaesthetic technique for open surgery of acute distal for arm fracture in adults/elderly is not well defined. Regional anaesthesia, general anaesthesia or a combined general and regional block may be considered. General anaesthetic technique, the timing and drug/drug combination for the regional block must also be considered. This is a study around published studies assessing anaesthtic technique for wrist surgery. A systematic database search was performed and papers describing the effect of anaesthetic techniques were included. We found sparse evidence for what anaesthetic technique is optimal for open wrist fracture repair. In total only six studies were found using our inclusion criteria, which all supported the short term, early... (More)

Anaesthetic technique for open surgery of acute distal for arm fracture in adults/elderly is not well defined. Regional anaesthesia, general anaesthesia or a combined general and regional block may be considered. General anaesthetic technique, the timing and drug/drug combination for the regional block must also be considered. This is a study around published studies assessing anaesthtic technique for wrist surgery. A systematic database search was performed and papers describing the effect of anaesthetic techniques were included. We found sparse evidence for what anaesthetic technique is optimal for open wrist fracture repair. In total only six studies were found using our inclusion criteria, which all supported the short term, early recovery benefits of regional anaesthesia as part of multi-modal analgesia. More protracted outcomes and putting the type of block into context of quality of recovery and patients' satisfaction is lacking in the literature. The risk for a pain rebound when the block vanishes should also be acknowledged. Therefore, further high quality studies are warranted concerning the anaesthetic technique for this type of surgery.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Anaesthetic technique, General anaesthesia, Open wrist surgery, Postoperative pain, Regional anaesthesia
in
F1000Research
volume
6
article number
1996
pages
1 - 10
publisher
F1000 Research Ltd.
external identifiers
  • scopus:85040786985
ISSN
2046-1402
DOI
10.12688/f1000research.13004.1
language
English
LU publication?
no
additional info
Publisher Copyright: © 2017 Sellbrandt I et al.
id
9d38d9f8-2bf1-4d73-9c17-0239bcd9137f
date added to LUP
2022-05-28 14:30:42
date last changed
2022-05-30 07:49:37
@article{9d38d9f8-2bf1-4d73-9c17-0239bcd9137f,
  abstract     = {{<p>Anaesthetic technique for open surgery of acute distal for arm fracture in adults/elderly is not well defined. Regional anaesthesia, general anaesthesia or a combined general and regional block may be considered. General anaesthetic technique, the timing and drug/drug combination for the regional block must also be considered. This is a study around published studies assessing anaesthtic technique for wrist surgery. A systematic database search was performed and papers describing the effect of anaesthetic techniques were included. We found sparse evidence for what anaesthetic technique is optimal for open wrist fracture repair. In total only six studies were found using our inclusion criteria, which all supported the short term, early recovery benefits of regional anaesthesia as part of multi-modal analgesia. More protracted outcomes and putting the type of block into context of quality of recovery and patients' satisfaction is lacking in the literature. The risk for a pain rebound when the block vanishes should also be acknowledged. Therefore, further high quality studies are warranted concerning the anaesthetic technique for this type of surgery.</p>}},
  author       = {{Sellbrandt, Irene and Brattwall, Metha and Warrén Stomberg, Margareta and Jildenstål, Pether and Jakobsson, Jan G.}},
  issn         = {{2046-1402}},
  keywords     = {{Anaesthetic technique; General anaesthesia; Open wrist surgery; Postoperative pain; Regional anaesthesia}},
  language     = {{eng}},
  pages        = {{1--10}},
  publisher    = {{F1000 Research Ltd.}},
  series       = {{F1000Research}},
  title        = {{Anaesthesia for open wrist fracture surgery in adults/elderly}},
  url          = {{http://dx.doi.org/10.12688/f1000research.13004.1}},
  doi          = {{10.12688/f1000research.13004.1}},
  volume       = {{6}},
  year         = {{2017}},
}