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Turkish orthopedists do not use anesthetics methods always for reduction of Colles fractures

Year 2019, , 468 - 471, 01.12.2019
https://doi.org/10.21601/ortadogutipdergisi.477152

Abstract

Aim: This study determines the current anesthetic approach for the reduction of a Colles fracture among Turkish orthopedists.
Material and Method: An online survey was conducted to determine the approach and beliefs about anesthetic use in fracture reduction among Turkish orthopedists who are registered to Turkish orthopedic communities by sending them invitations.
Results: Approximately 50% of the Turkish orthopedists never use anesthetic methods for the reduction of Colles fractures. This rate is 72% for residents. Most common excuses for such a practice were to finish the job quickly (53%) and belief of unnecessariness of the anesthesia in such a quick procedure (58%).
Conclusion: Most of the Colles fractures in Turkey are being reduced without any kind of anesthesia. More than a half of the Turkish orthopedists do not believe the necessity of anesthesia in such a quick procedure. Risky and time-consuming anesthetic methods for such a quick procedure are not approved by the majority of Turkish orthopedists.

References

  • Issin A, Kockara N, Oner A, Sahin V. Epidemiologic Properties of Pediatric Fractures in a Metropolitan Area of Turkey. Medicine (Baltimore). 2015; 94(43): 1877.
  • Duncan FMS, Weiland AJ. Extraarticular Distal Radius Fractures. In: Berger RA, Weiss APC, eds. Hand surgery. Lippincott Williams & Wilkins, 2004; 248-272.
  • Bae DS. Hand, Wrist, and Forearm Fractures in Children In: Wolfe, S. W., Pederson, W. C., Hotchkiss, R. N., Kozin, S. H., & Cohen, M. S. eds. Green’s Operative Hand Surgery: Expert Consult: Online and Print. Elsevier Health Sciences. 2010; 1525-1539.
  • Connolly JF. Nonoperative Fracture Treatment In: Bucholz RW, Heckman JD, Court-Brown CM. eds. Rockwood and Green’s Fractures in Adults 6th Ed. Philadelphia: Lippincott Williams & Wilkins, 2006;176.
  • Mencio GA. Pain Relief and Related Concerns in Children’s Fractures In: Beaty JH, Kasser JR. eds. Rockwood and Green’s Fractures in Children 7th Ed. Philadelphia: Lippincott Williams & Wilkins, 2010;46-67.
  • Kennedy RM, Luhmann JD, Luhmann SJ. Emergency department management of pain and anxiety related to orthopedic fracture care: a guide to analgesic techniques and procedural sedation in children. Paediatr Drugs. 2004; 6(1): 11-31.
  • Kennedy RM, Luhmann JD. Pharmacological Management of Pain and Anxiety during Emergency Procedures in Children. Paediatric Drugs. 2001; 3(5): 337-354.
  • Solak M. Ed. “Türkiye’de sağlık eğitimi ve sağlık insangücü durum raporu – 2014”. Medical education and health care labour in Turkey, status report 2014. Eskişehir: Anadolu Universitesi Web-Ofset, 2014; 50.
  • Zempsky WT. Optimizing the management of peripheral venous access pain in children: evidence, impact, and implementation. Pediatrics. 2008; 122 Suppl 3: S121-4.
  • Walco GA. Needle pain in children: contextual factors. Pediatrics. 2008; 122 Suppl 3: S125-9.
  • Lininger RA. Pediatric peripheral i.v. insertion success rates. Pediatr Nurs. 2003; 29(5): 351-4.
  • Tüfekci FG, Celebioğlu A, Küçükoğlu S. Turkish children loved distraction: using kaleidoscope to reduce perceived pain during venipuncture. J Clin Nurs. 2009; 18(15): 2180-6.
  • Johnson PQ, Noffsinger MA. Hematoma block of distal forearm fractures. Is it safe? Orthop Rev. 1991; 20(11): 977-9.
  • Case RD. Haematoma block a safe method of reducing Colles’ fractures. Injury, 1985; 16: 469-470.
  • Basu, A, Bhalaik, V, Stanislas, M, Harvey IA. Osteomyelitis following a haematoma block. Injury. 2003; 34(1): 79-82.
  • Krauss B, Green SM. Procedural sedation and analgesia in children. The Lancet, 2006; 367: 766-780.
  • Bear DM, Friel NA, Lupo CL, Pitetti R, Ward WT. Hematoma block versus sedation for the reduction of distal radius fractures in children. J Hand Surg Am. 2015; 40(1): 57-61.
  • Brill S, Middleton W, Brill G, Fisher A. Bier’s block; 100 years old and still going strong! Acta Anaesthesiol Scand. 2004; 48(1): 117-22.

Türk ortopedistler Colles kırığı redüksiyonunda her zaman anestezik yöntem tercih etmezler

Year 2019, , 468 - 471, 01.12.2019
https://doi.org/10.21601/ortadogutipdergisi.477152

Abstract

Amaç: Bu çalışmayla Türk ortopedistlerin Colles kırığı redüksiyonu yaparken kullandıkları anestezi yaklaşımını ve bunun nedenlerini belirlemek amaçlanmıştır.
Gereç ve Yöntem: Türk ortopedi cemiyetlerine üye hekimlere davetiye gönderilerek çevrimiçi anketimize katılmaları istenmiştir.
Bulgular: Türk ortopedistlerin takriben %50’si Colles kırığı redüksiyonu için herhangi bir anestezik yöntem kullanmamaktadır. Bu oran asistanlarda %72’dir. Anestezik yöntem kullanmama için en sık bahaneler %58 ile “bu kadar kısa bir işlem için anestezi gerektiğine inanmama” ve %53 ile “işi çabuk bitirmek için”dir.
Sonuçlar: Türkiye’de Colles kırıklarının çoğu hiçbir anestezik yöntem kullanılmadan redükte edilmektedir. Türk ortopedistlerin yarısından fazlası bu işlem sırasında anestezinin gerekliliğine inanmamaktadır. Bu kadar basit ve kısa bir işlem için riskli ve uzun anestezik yöntemlerin kullanılması Türk ortopedistlerinin çoğunun onayladığı bir yöntem değildir.

References

  • Issin A, Kockara N, Oner A, Sahin V. Epidemiologic Properties of Pediatric Fractures in a Metropolitan Area of Turkey. Medicine (Baltimore). 2015; 94(43): 1877.
  • Duncan FMS, Weiland AJ. Extraarticular Distal Radius Fractures. In: Berger RA, Weiss APC, eds. Hand surgery. Lippincott Williams & Wilkins, 2004; 248-272.
  • Bae DS. Hand, Wrist, and Forearm Fractures in Children In: Wolfe, S. W., Pederson, W. C., Hotchkiss, R. N., Kozin, S. H., & Cohen, M. S. eds. Green’s Operative Hand Surgery: Expert Consult: Online and Print. Elsevier Health Sciences. 2010; 1525-1539.
  • Connolly JF. Nonoperative Fracture Treatment In: Bucholz RW, Heckman JD, Court-Brown CM. eds. Rockwood and Green’s Fractures in Adults 6th Ed. Philadelphia: Lippincott Williams & Wilkins, 2006;176.
  • Mencio GA. Pain Relief and Related Concerns in Children’s Fractures In: Beaty JH, Kasser JR. eds. Rockwood and Green’s Fractures in Children 7th Ed. Philadelphia: Lippincott Williams & Wilkins, 2010;46-67.
  • Kennedy RM, Luhmann JD, Luhmann SJ. Emergency department management of pain and anxiety related to orthopedic fracture care: a guide to analgesic techniques and procedural sedation in children. Paediatr Drugs. 2004; 6(1): 11-31.
  • Kennedy RM, Luhmann JD. Pharmacological Management of Pain and Anxiety during Emergency Procedures in Children. Paediatric Drugs. 2001; 3(5): 337-354.
  • Solak M. Ed. “Türkiye’de sağlık eğitimi ve sağlık insangücü durum raporu – 2014”. Medical education and health care labour in Turkey, status report 2014. Eskişehir: Anadolu Universitesi Web-Ofset, 2014; 50.
  • Zempsky WT. Optimizing the management of peripheral venous access pain in children: evidence, impact, and implementation. Pediatrics. 2008; 122 Suppl 3: S121-4.
  • Walco GA. Needle pain in children: contextual factors. Pediatrics. 2008; 122 Suppl 3: S125-9.
  • Lininger RA. Pediatric peripheral i.v. insertion success rates. Pediatr Nurs. 2003; 29(5): 351-4.
  • Tüfekci FG, Celebioğlu A, Küçükoğlu S. Turkish children loved distraction: using kaleidoscope to reduce perceived pain during venipuncture. J Clin Nurs. 2009; 18(15): 2180-6.
  • Johnson PQ, Noffsinger MA. Hematoma block of distal forearm fractures. Is it safe? Orthop Rev. 1991; 20(11): 977-9.
  • Case RD. Haematoma block a safe method of reducing Colles’ fractures. Injury, 1985; 16: 469-470.
  • Basu, A, Bhalaik, V, Stanislas, M, Harvey IA. Osteomyelitis following a haematoma block. Injury. 2003; 34(1): 79-82.
  • Krauss B, Green SM. Procedural sedation and analgesia in children. The Lancet, 2006; 367: 766-780.
  • Bear DM, Friel NA, Lupo CL, Pitetti R, Ward WT. Hematoma block versus sedation for the reduction of distal radius fractures in children. J Hand Surg Am. 2015; 40(1): 57-61.
  • Brill S, Middleton W, Brill G, Fisher A. Bier’s block; 100 years old and still going strong! Acta Anaesthesiol Scand. 2004; 48(1): 117-22.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original article
Authors

Ahmet Issın 0000-0002-3084-0372

Nizamettin Koçkara 0000-0003-1780-0074

Publication Date December 1, 2019
Published in Issue Year 2019

Cite

Vancouver Issın A, Koçkara N. Turkish orthopedists do not use anesthetics methods always for reduction of Colles fractures. otd. 2019;11(4):468-71.

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