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[Amputation of the hand as last resort in severe complex regional pain syndrome]

B Hohendorff1, M Mühldorfer-Fodor, J van Schoonhoven

  • 1Rhön Klinikum AG, Klinik für Handchirurgie, Salzburger Leite 1, Bad Neustadt/Saale. bernd.hohendorff @hotmail.com

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 22, 2011
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.
One of the advantages of...