scholarly journals The feasibility of using forearm intravenous regional anaesthesia instead of the standard upper arm technique in wrist and hand surgery

2020 ◽  
Vol 3 (2) ◽  
pp. 102-107
Author(s):  
Kerollos Moneer Neseem Mikhael ◽  
Hatem Elmoutaz Mahmoud ◽  
Ghada Korany Abdel Mottaleb
Keyword(s):  
Regional Anaesthesia ◽  
Hand Surgery ◽  
Upper Arm ◽  
Intravenous Regional Anaesthesia

The Use of Bier's Block for Day Case Surgery

1995 ◽  
Vol 20 (5) ◽  
pp. 679-680 ◽  
Author(s):  
D. J. DUNLOP ◽  
C. M. GRAHAM ◽  
M. A. WALDRAM ◽  
P. J. MULLIGAN ◽  
J. M. WATT
Keyword(s):  
Success Rate ◽  
Regional Anaesthesia ◽  
Hand Surgery ◽  
Large Series ◽  
Day Case ◽  
Day Case Surgery ◽  
Minimal Morbidity ◽  
Case Surgery ◽  
Intravenous Regional Anaesthesia

With the increasing popularity of day case surgery it is important to ensure that safe and appropriate techniques are being used. We retrospectively reviewed a large series of 732 patients who underwent planned day case hand surgery under intravenous regional anaesthesia (modified Bier's block) over a 5-year period. We found a modified Bier's block to be ideally suited to day case surgery with no deaths, minimal morbidity and a success rate in excess of 98%.

A Modification of the Technique for Intravenous Regional Blockade for Hand Surgery

2000 ◽  
Vol 25 (6) ◽  
pp. 575-577 ◽  
Author(s):  
C. H. J. THAM ◽  
B. H. LIM
Keyword(s):  
Prospective Study ◽  
Regional Anaesthesia ◽  
Hand Surgery ◽  
Subjective Assessment ◽  
Distal Forearm ◽  
Operating Field ◽  
Experienced Pain ◽  
Intravenous Regional Anaesthesia ◽  
A Prospective Study

A prospective study was conducted to assess a modification to Bier’s intravenous regional anaesthesia which introduced a third temporary distal forearm tourniquet. This confines the injected lignocaine to the hand, resulting in a higher local lignocaine concentration. Subsequent exsanguination of the limb then channels the remaining intravascular lignocaine under the distal cuff of a double tourniquet. Of the 18 patients, none experienced pain during operation and all tolerated the tourniquet without significant discomfort. Mild postoperative giddiness was noted in one patient. No other anaesthetic complications were encountered. In a subjective assessment of the bloodlessness of the operating field, two were ranked satisfactory, ten good and six excellent. None of the patients required re-exsanguination when using this technique.

Intravenous Regional Anaesthesia in Hand Surgery — Experience with 632 Cases

HAND ◽  
1981 ◽  
Vol os-13 (2) ◽  
pp. 192-198 ◽  
Author(s):  
K. M. Chan ◽  
G. F. Y. Ma ◽  
Y. N. Chow ◽  
P. C. Leung
Keyword(s):  
Regional Anaesthesia ◽  
Orthopaedic Surgery ◽  
Hand Surgery ◽  
Practical Experience ◽  
Patient Comfort ◽  
Intravenous Regional Anaesthesia

Practical experience in the use of intravenous regional anaesthesia in hand surgery on 632 patients is reported. The safety of the anaesthesia, the efficacy of the procedure and the patient-comfort are well attested in this study. We recommend that its role should be established particularly in busy orthopaedic surgery departments where both elective and emergency work-loads on hand surgery are heavy.

scholarly journals Patient satisfaction with intravenous regional anaesthesia or an axillary block for minor ambulatory hand surgery

2020 ◽  
Vol 37 (10) ◽  
pp. 847-856
Author(s):  
An Teunkens ◽  
Kristien Vermeulen ◽  
Ann Belmans ◽  
Ilse Degreef ◽  
Marc Van de Velde ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Regional Anaesthesia ◽  
Hand Surgery ◽  
Axillary Block ◽  
Intravenous Regional Anaesthesia

Subcutaneous Ring Anaesthesia in the Prevention Of Tourniquet Pain in Hand Surgery

HAND ◽  
1978 ◽  
Vol os-10 (3) ◽  
pp. 317-320 ◽  
Author(s):  
M. Rousso ◽  
M. R. Wexler ◽  
H. Weinberg ◽  
E. Vatashky ◽  
B. Aronson
Keyword(s):  
Brachial Plexus ◽  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Hand Surgery ◽  
Upper Arm ◽  
Simple Method ◽  
Tourniquet Pain ◽  
Operative Site ◽  
Wide Range

A simple method for achieving satisfactory regional anaesthesia for a wide range of hand surgery is presented. It entails separate attention to the two aims of regional anaesthesia, namely analgesia of the tourniquet and of the operative site. This study of 149 patients indicated that (a) subcutaneous ring anaesthesia produced excellent tourniquet analgesia, both in the forearm as well as the upper arm; (b) a tourniquet applied to the forearm provided excellent regional ischaemia in 98% of our cases, contrary to what has been previously accepted. The advantages of this method are its safety and simplicity even for the relatively untrained surgeon. It also obviates the need for brachial plexus blocks, intravenous regional or general anaesthesia with all their drawbacks.

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