BEST EVIDENCE TOPIC REPORT
Fasting before prilocaine Biers’ block
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin mackway-jones{at}man.ac.uk
Report by Muhammad Ahmad, Consultant in Emergency Medicine
Checked by Gary Saynor, Consultant in Emergency Medicine
A short cut review was carried out to establish whether a period of fasting increases the safety of Biers’ block (intravenous regional anaesthesia). A total of 50 papers were found using the reported search, of which four presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
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