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Surgical Pearl: Localized pressure from routine surgical instruments provides safe and effective temporary hemostasis

Ross Zeltser1, Niels Krejci-Papa

  • 1Department of Dermatology, Boston University, Boston, Massachusetts, USA.

Journal of the American Academy of Dermatology
|August 23, 2005
PubMed
Abstract

No abstract available in 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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