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Why do Bier blocks work for hand surgery ... Most of the time?

Ethan W Blackburn1, Adam B Shafritz

  • 1Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington, Vermont 05405-0084, USA.

The Journal of Hand Surgery
|May 11, 2010
PubMed
Summary

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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