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Use of Local Anesthesia in Treatment of Fracture and Dislocations

R. H. RAMSEY, M.D.; H. E. PEDERSEN, M.D.
AMA Arch Surg. 1957;75(6):976-978. doi:10.1001/archsurg.1957.01280180108015.
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The surgeon who is to treat a fracture or dislocation by closed reduction must choose both the proper anesthetic agent and the proper time for reduction. General anesthesia, local anesthesia, or no anesthesia is the choice, and surgeons differ widely in their preference. It is widely accepted that general anesthesia should be given only after hospitalization, routine history taking and physical examination, basic urine and blood studies, and proper premedication, and on an empty stomach. This necessitates availability of a hospital bed and frequently a delay of two or more hours before definite treatment is carried out, and greatly increases the cost of treatment. A study of the use of local anesthesia in fractures and dislocations requiring reduction has been carried out in order to evaluate the proper place of local anesthesia. The obvious advantage of facilitating immediate definitive treatment that can be carried out as hospital outpatient or office

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