The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Dec 1999
Randomized Controlled Trial Clinical TrialThe role of Mepitel silicone net dressings in the management of fingertip injuries in children.
Forty-five children with isolated fingertip injuries were randomized for treatment with either Mepitel silicone net dressings or paraffin gauze dressings. Over a 4 week period, the objective adherence of the dressing, and the perceived level of stress caused to the child by the dressing change were scored by linear analogue scales. The wounds were also assessed for the progress of healing and presence of infection. ⋯ There was no difference in duration of healing or complication rates between the two groups. Statistically lower scores were seen for the Mepitel group for the first 3 weeks in both adherence and stress scores. These results suggest that silicone net dressings may be a less adherent and less painful method of dressing fingertip injuries in children.
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J Hand Surg Eur Vol · Oct 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparison between single injection transthecal and subcutaneous digital blocks.
A randomized double blinded study was performed on 142 patients to evaluate two different techniques of single injection digital anaesthesia. In group A, 86 digits in 71 patients were anaesthetized by a single injection transthecal technique using 3 cc of lignocaine and bupivacaine mixture. ⋯ Total anaesthesia of the digit was achieved in 75 (94%) digits. These two techniques were found to have no differences in effectiveness, distribution, onset and duration of anaesthesia.
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J Hand Surg Eur Vol · Jun 1994
Randomized Controlled Trial Clinical TrialThe "mini-Bier's block": a new technique for prevention of tourniquet pain during axillary brachial plexus anaesthesia.
Tourniquet cuff pain is a significant cause of morbidity following regional anaesthesia of the upper limb. We describe a simple new technique for effectively anaesthetizing the area under a pneumatic tourniquet (the "mini-Bier's block"), which permits comfortable surgery under axillary block anaesthesia even if the local block is incomplete. We report a controlled study of 40 patients in whom statistically significant tourniquet cuff pain relief was obtained in patients receiving an additional low-dose intravenous injection of local anaesthetic localized beneath the cuff. This technique ensures that the safe axillary approach to the brachial plexus can always be used with avoidance of pain from the pressure of the tourniquet cuff.
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J Hand Surg Eur Vol · May 1988
Randomized Controlled Trial Comparative Study Clinical TrialMallet finger: a trial of two splints.
Over a period of twelve months, 116 cases of mallet finger were allocated randomly to treatment with either a Stack or Abouna splint. The two splints were equally effective, producing a cure or a significant improvement in approximately 50% of cases. However, the Stack splint was much preferred by the patients, who found it more comfortable, more robust and easier to keep clean.
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J Hand Surg Eur Vol · Oct 1987
Randomized Controlled Trial Comparative Study Clinical TrialComparison of 1% lignocaine with 0.5% bupivacaine in digital ring blocks.
In a randomised double-blind trial comparing 1% lignocaine with 0.5% bupivacaine in digital ring block, the mean time of onset of complete anaesthesia was 5.8 minutes (range 5 to 10 minutes) for lignocaine and 11.2 minutes (range 8 to 20 minutes) for bupivacaine. The duration of action was 59.6 minutes (S. ⋯ D. +/- 277 minutes) for bupivacaine. We describe how these differences can be exploited in clinical practice.