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Technique to prevent limb ischemia during peripheral cannulation for extracorporeal membrane oxygenation

V Kasirajan1, I Simmons, J King

  • 1Medical College of Virginia Hospitals and Virginia Commonwealth University, Richmond, Virginia 23298-0068, USA. vkasirajan@nsc1.nsc.vcu.edu

Perfusion
|December 10, 2002
PubMed

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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