Search tips
Search criteria 


Logo of archemedLink to Publisher's site
Arch Emerg Med. 1988 June; 5(2): 79–85.
PMCID: PMC1285492

The use of muscle relaxant to supplement local anaesthetics for Bier's blocks.


In searching for the 'ideal' muscle relaxant for use with intravenous regional anaesthesia, muscle relaxation was assessed with and without the addition of Atracurium to Bier's Block in four volunteers. This was followed by a clinical study of 36 patients with wrist fractures to confirm the drug's safety and examine the possible clinical advantages of using a muscle relaxant. The addition of 2 mg of Atracurium to the Bier's Block improved the ease of reduction (P less than 0.025) and the quality of analgesia (P less than 0.05) (Mann-Whitney U test). The authors conclude that the addition of Atracurium to a Bier's Block is useful in selected patients with a wrist fracture.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (454K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Alegesan K. Unwanted isolated limb. Anaesthesia. 1983 Dec;38(12):1230–1231. [PubMed]
  • Hughes R, Chapple DJ. The pharmacology of atracurium: a new competitive neuromuscular blocking agent. Br J Anaesth. 1981 Jan;53(1):31–44. [PubMed]
  • Torda TA, Klonymus DH. The regional use of muscle relaxants. Arch Surg. 1967 Feb;94(2):199–201. [PubMed]

Articles from Archives of Emergency Medicine are provided here courtesy of BMJ Group