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Acute pain management Communicating Procedures to families
Doctors should discuss previous experience and training in this procedure with a senior doctor before proceeding, and should be fully familiar with the equipment used.
Cooperative children with forearm fractures requiring manipulation or lacerations needing repair.
The most common side effect of Biers Block is cuff discomfort.
Allergy/anaphylaxis to lignocaine
Systemic lignocaine toxicity is rare.
Ensure adequate analgesia of underlying injury (see Acute pain management).
Local anaesthetic for the block:
There are no specific post block care requirements once the cuff is released.
In block failure or for children with severe distress, agitation or difficult positioning, additional sedation (see Acute pain management) or general anaesthesia may be required.
For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.
Last updated November 2017