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INTRAVENOUS REGIONAL ANAESTHESIA FOR THE TREATMENT OF UPPER LIMB INJURIES IN CHILDHOOD
Author(s) -
Turner P. L.,
Batten J. B.,
Hjorth. D.,
Ross E. R. S.,
Eyres R. L.,
Cole W. G.
Publication year - 1986
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1986.tb01873.x
Subject(s) - medicine , dose , anesthesia , resuscitation , regional anaesthesia , upper limb , lower limb , general anaesthesia , prospective cohort study , surgery , pharmacology
A prospective study was made of the use of intravenous regional anaesthesia for the treatment of upper limb fractures and dislocations in 200 children aged from 3 to 15 years. An aqueous solution containing 5 mg/ml of lignocaine (0.5%) was administered in a dosage of 3 mg/kgm body weight, but dosages of 2 mg/kgm were used in each arm of a child with bilateral injuries. Intravenous regional anaesthesia was well tolerated and was a safe and effective method of treating these injuries in a casualty department with adequate resuscitation facilities and staff trained in the management of local anaesthetic toxicity.