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Papers of the Week

2022 Feb 17

Emerg Med J

Comparative efficacy of anaesthetic methods for closed reduction of paediatric forearm fractures: a systematic review.


Goh A X C, Yeo J W, Gao J F, Ong M E H, Chong S-L, Siddiqui F J, Ho A F W
Emerg Med J. 2022 Feb 17.
PMID: 35177437.


Forearm fractures in children often require closed reduction in the emergency setting. The choice of anaesthesia influences the degree of pain relief, which determines the success of reduction. Main methods of anaesthesia include procedural sedation and analgesia, haematoma block, intravenous regional anaesthesia (IVRA) and regional nerve blocks. However, their comparative effectiveness is unclear. This study aims to synthesise peer-reviewed evidence and identify the most effective, in terms of pain reduction, and safest anaesthetic method.