title: A tide of change in the management of an old fracture?
abstract: Colles' fractures are manipulated under a variety of anaesthetic techniques. An increasing awareness of cost and time within the National Health Service contributes to a marked change in the anaesthetic management of Colles' fractures. This paper presents the results of a survey of the anaesthetic techniques used in the larger accident and emergency (A&E) departments of the UK, and demonstrates the increasing popularity of the haematoma block compared with 5 years ago (7% in 1989 vs. 33% in 1994), at the expense of the general anesthetic (44% in 1989 vs 24% in 1994). The popularity of the Bier's block has remained unchanged (33% in 1989 and 1994). Local and regional anaesthetic techniques can be safely performed by A&E doctors, with appropriate monitoring, and this has beneficial resource implications for the anaesthetic department and the hospital.
authors.affiliation: Accident and Emergency Department, Gloucester Royal Hospital, UK.
authors.forename: J M
authors.initials: JM
authors.lastname: Kendall
authors.forename: P E
authors.initials: PE
authors.lastname: Allen
authors.forename: S E
authors.initials: SE
authors.lastname: McCabe
mesh_terms: D000765:Anesthesia, Conduction / Q000191:economics / Q000706:statistics & numerical data; D000768:Anesthesia, General / Q000191:economics / Q000706:statistics & numerical data; D000772:Anesthesia, Local / Q000191:economics / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D003100:Colles' Fracture / Q000628:therapy*; D004636:Emergency Service, Hospital / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D006113:United Kingdom