Local anaesthesia for manipulation of nasal fractures: systematic review
To determine the most effective local anaesthetic method for manipulation of nasal fractures, and to compare the efficacy of local anaesthesia with that of general anaesthesia. Systematic review and meta-analysis. Medline, Embase, Cochrane Library, National Research Register and metaRegister of Cont...
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| Veröffentlicht in: | Journal of laryngology and otology 2009-08, Vol.123 (8), p.830-836 |
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| container_title | Journal of laryngology and otology |
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| creator | Chadha, N K Repanos, C Carswell, A J |
| description | To determine the most effective local anaesthetic method for manipulation of nasal fractures, and to compare the efficacy of local anaesthesia with that of general anaesthesia.
Systematic review and meta-analysis.
Medline, Embase, Cochrane Library, National Research Register and metaRegister of Controlled Trials.
We included randomised, controlled trials comparing general anaesthesia with local anaesthesia or comparing different local anaesthetic techniques. Non-randomised studies were also systematically reviewed and appraised. No language restrictions were applied.
Five randomised, controlled trials were included, three comparing general anaesthesia versus local anaesthesia and two comparing different local anaesthetic methods. No significant differences were found between local anaesthesia and general anaesthesia as regards pain, cosmesis or nasal patency. The least painful local anaesthetic method was topical tetracaine gel applied to the nasal dorsum together with topical intranasal cocaine solution. Minimal adverse events were reported with local anaesthesia.
Local anaesthesia appears to be a safe and effective alternative to general anaesthesia for pain relief during nasal fracture manipulation, with no evidence of inferior outcomes. The least uncomfortable local anaesthetic method included topical tetracaine gel. |
| doi_str_mv | 10.1017/S002221510900560X |
| format | Article |
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Systematic review and meta-analysis.
Medline, Embase, Cochrane Library, National Research Register and metaRegister of Controlled Trials.
We included randomised, controlled trials comparing general anaesthesia with local anaesthesia or comparing different local anaesthetic techniques. Non-randomised studies were also systematically reviewed and appraised. No language restrictions were applied.
Five randomised, controlled trials were included, three comparing general anaesthesia versus local anaesthesia and two comparing different local anaesthetic methods. No significant differences were found between local anaesthesia and general anaesthesia as regards pain, cosmesis or nasal patency. The least painful local anaesthetic method was topical tetracaine gel applied to the nasal dorsum together with topical intranasal cocaine solution. Minimal adverse events were reported with local anaesthesia.
Local anaesthesia appears to be a safe and effective alternative to general anaesthesia for pain relief during nasal fracture manipulation, with no evidence of inferior outcomes. The least uncomfortable local anaesthetic method included topical tetracaine gel.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S002221510900560X</identifier><identifier>PMID: 19470190</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Anaesthesia ; Anesthesia, General - methods ; Anesthesia, Local - methods ; Biological and medical sciences ; Cosmetic ; Fractures ; Fractures, Bone - surgery ; General anesthesia ; Humans ; Injuries of the limb. Injuries of the spine ; Local ; Local anesthesia ; Manipulation ; Manipulation, Orthopedic - methods ; Medical sciences ; Nasal Bone - injuries ; Nasal Bones ; Nasal Obstruction ; Nasal Obstruction - therapy ; Non tumoral diseases ; Nose ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Pain ; Pain - prevention & control ; Patients ; Randomized Controlled Trials as Topic ; Surgeons ; Systematic Review ; Trauma ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of laryngology and otology, 2009-08, Vol.123 (8), p.830-836</ispartof><rights>Copyright © JLO (1984) Limited 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-6dc1b612cf673e7e006c36ef6e5923ee0557733b1e90d597cf668ede4769c9b03</citedby><cites>FETCH-LOGICAL-c439t-6dc1b612cf673e7e006c36ef6e5923ee0557733b1e90d597cf668ede4769c9b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S002221510900560X/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21749523$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19470190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chadha, N K</creatorcontrib><creatorcontrib>Repanos, C</creatorcontrib><creatorcontrib>Carswell, A J</creatorcontrib><title>Local anaesthesia for manipulation of nasal fractures: systematic review</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>To determine the most effective local anaesthetic method for manipulation of nasal fractures, and to compare the efficacy of local anaesthesia with that of general anaesthesia.
Systematic review and meta-analysis.
Medline, Embase, Cochrane Library, National Research Register and metaRegister of Controlled Trials.
We included randomised, controlled trials comparing general anaesthesia with local anaesthesia or comparing different local anaesthetic techniques. Non-randomised studies were also systematically reviewed and appraised. No language restrictions were applied.
Five randomised, controlled trials were included, three comparing general anaesthesia versus local anaesthesia and two comparing different local anaesthetic methods. No significant differences were found between local anaesthesia and general anaesthesia as regards pain, cosmesis or nasal patency. The least painful local anaesthetic method was topical tetracaine gel applied to the nasal dorsum together with topical intranasal cocaine solution. Minimal adverse events were reported with local anaesthesia.
Local anaesthesia appears to be a safe and effective alternative to general anaesthesia for pain relief during nasal fracture manipulation, with no evidence of inferior outcomes. The least uncomfortable local anaesthetic method included topical tetracaine gel.</description><subject>Anaesthesia</subject><subject>Anesthesia, General - methods</subject><subject>Anesthesia, Local - methods</subject><subject>Biological and medical sciences</subject><subject>Cosmetic</subject><subject>Fractures</subject><subject>Fractures, Bone - surgery</subject><subject>General anesthesia</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Local</subject><subject>Local anesthesia</subject><subject>Manipulation</subject><subject>Manipulation, Orthopedic - methods</subject><subject>Medical sciences</subject><subject>Nasal Bone - injuries</subject><subject>Nasal Bones</subject><subject>Nasal Obstruction</subject><subject>Nasal Obstruction - therapy</subject><subject>Non tumoral diseases</subject><subject>Nose</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pain</subject><subject>Pain - prevention & control</subject><subject>Patients</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Surgeons</subject><subject>Systematic Review</subject><subject>Trauma</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU2LFDEURYMoTs_oD3AjhSCuSl-SSlJxJ4P2CA0qo-AupFKvNGN9tEmVOv9-XtPFDCiusrjnhpsTxp5weMmBm1eXAEIIrjhYAKXh6z224aaqS1VpuM82h7g85CfsNOcrACqBeMhOuK0McAsbdrGbgu8LP3rM83fM0RfdlIrBj3G_9H6O01hMXTH6TFSXfJiXhPl1ka_zjAPloUj4K-LvR-xB5_uMj9fzjH159_bz-UW5-7B9f_5mV4ZK2rnUbeCN5iJ02kg0CKCD1NhpVFZIRFDKGCkbjhZaZQ1xusYWK6NtsA3IM_bieO8-TT8XGu2GmAP2vR9xWrKjsjIAtSby2V_k1bSkkcY5YSpbV6rmBPEjFNKUc8LO7VMcfLp2HNxBsvtHMnWerhcvzYDtXWO1SsDzFfCZ7JK2McR8ywn6I6uEJK48cpFk_rnNffrhyI5RTm8_ucqYj_zSbJ0iXq5j_dCk2H7Duyf9f-4Nq1ShFw</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Chadha, N K</creator><creator>Repanos, C</creator><creator>Carswell, A J</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Local anaesthesia for manipulation of nasal fractures: systematic review</title><author>Chadha, N K ; Repanos, C ; Carswell, A J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-6dc1b612cf673e7e006c36ef6e5923ee0557733b1e90d597cf668ede4769c9b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anaesthesia</topic><topic>Anesthesia, General - methods</topic><topic>Anesthesia, Local - methods</topic><topic>Biological and medical sciences</topic><topic>Cosmetic</topic><topic>Fractures</topic><topic>Fractures, Bone - surgery</topic><topic>General anesthesia</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Local</topic><topic>Local anesthesia</topic><topic>Manipulation</topic><topic>Manipulation, Orthopedic - methods</topic><topic>Medical sciences</topic><topic>Nasal Bone - injuries</topic><topic>Nasal Bones</topic><topic>Nasal Obstruction</topic><topic>Nasal Obstruction - therapy</topic><topic>Non tumoral diseases</topic><topic>Nose</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pain</topic><topic>Pain - prevention & control</topic><topic>Patients</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Surgeons</topic><topic>Systematic Review</topic><topic>Trauma</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chadha, N K</creatorcontrib><creatorcontrib>Repanos, C</creatorcontrib><creatorcontrib>Carswell, A J</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chadha, N K</au><au>Repanos, C</au><au>Carswell, A J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Local anaesthesia for manipulation of nasal fractures: systematic review</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>123</volume><issue>8</issue><spage>830</spage><epage>836</epage><pages>830-836</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>To determine the most effective local anaesthetic method for manipulation of nasal fractures, and to compare the efficacy of local anaesthesia with that of general anaesthesia.
Systematic review and meta-analysis.
Medline, Embase, Cochrane Library, National Research Register and metaRegister of Controlled Trials.
We included randomised, controlled trials comparing general anaesthesia with local anaesthesia or comparing different local anaesthetic techniques. Non-randomised studies were also systematically reviewed and appraised. No language restrictions were applied.
Five randomised, controlled trials were included, three comparing general anaesthesia versus local anaesthesia and two comparing different local anaesthetic methods. No significant differences were found between local anaesthesia and general anaesthesia as regards pain, cosmesis or nasal patency. The least painful local anaesthetic method was topical tetracaine gel applied to the nasal dorsum together with topical intranasal cocaine solution. Minimal adverse events were reported with local anaesthesia.
Local anaesthesia appears to be a safe and effective alternative to general anaesthesia for pain relief during nasal fracture manipulation, with no evidence of inferior outcomes. The least uncomfortable local anaesthetic method included topical tetracaine gel.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19470190</pmid><doi>10.1017/S002221510900560X</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0022-2151 |
| ispartof | Journal of laryngology and otology, 2009-08, Vol.123 (8), p.830-836 |
| issn | 0022-2151 1748-5460 |
| language | eng |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Anaesthesia Anesthesia, General - methods Anesthesia, Local - methods Biological and medical sciences Cosmetic Fractures Fractures, Bone - surgery General anesthesia Humans Injuries of the limb. Injuries of the spine Local Local anesthesia Manipulation Manipulation, Orthopedic - methods Medical sciences Nasal Bone - injuries Nasal Bones Nasal Obstruction Nasal Obstruction - therapy Non tumoral diseases Nose Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Pain Pain - prevention & control Patients Randomized Controlled Trials as Topic Surgeons Systematic Review Trauma Traumas. Diseases due to physical agents |
| title | Local anaesthesia for manipulation of nasal fractures: systematic review |
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