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SUPraclavicular Block for Emergency Reduction of Upper Limb Injuries Versus Bier Block (SUPERB)

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Ace Report Cover
October 2025

SUPraclavicular Block for Emergency Reduction of Upper Limb Injuries Versus Bier Block (SUPERB)

Vol: 307| Issue: 10| Number:9| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

SUPraclavicular Block for Emergency Reduction of Upper Limb Injuries Versus Bier Block (SUPERB): An Open-Label, Noninferiority Randomised Controlled Trial.

Emerg Med Australas . 2025 Jun;37(3):e70069.

Contributing Authors:
H Tsao C Tang A Cureton L Maskell M Trembath P Jones PJ Snelling

Synopsis

Seventy-eight patients with distal forearm fractures were randomized to ultrasound-guided supraclavicular block (UGSCB) with ropivacaine (n=39) or Bier block (BB) with lignocaine/prilocaine (n=39). The primary outcome was patient-reported maximal pain during closed reduction (10-cm VAS; noninferiority margin 2 cm). Secondary outcomes included 1-hour pain, patient satisfaction, ED length of stay, o...

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