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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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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Related Experiment Video

Updated: Jun 23, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

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Published on: August 1, 2025

Appendiceal tourniquet

Richard H Riley¹, Richard J Martin

¹Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, WA, Australia. richard.riley@health.wa.gov.au

The Medical Journal of Australia

|May 6, 2009

Summary

No abstract available in PubMed .

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