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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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.
One of the advantages of...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...

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Updated: May 7, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Cubital tunnel release using local anesthesia.

Nasim S Huq1, Naweed Ahmed, Mehdi Razeghi

  • 1Niagara Plastic Surgery Centre, McMaster University, 5668 Main Street, Suite 1, Niagara Falls, Ontario L2G 5Z4, Canada.

Clinics in Plastic Surgery
|October 8, 2013
PubMed
Summary
This summary is machine-generated.

Local anesthesia offers an alternative to general anesthesia for cubital tunnel syndrome surgery. This approach is suitable for mild to moderate cases and those unresponsive to conservative treatments, allowing for simultaneous anterior transposition if needed.

Keywords:
Cubital tunnel releaseCubital tunnel syndromeDecompression surgeryLocal anesthesiaNerve entrapmentUlnar nerve

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Area of Science:

  • Orthopedic Surgery
  • Anesthesiology

Background:

  • Cubital tunnel syndrome is a common entrapment neuropathy.
  • Traditional treatment often involves general anesthesia.
  • Surgical intervention is indicated for persistent or severe symptoms.

Purpose of the Study:

  • To evaluate the efficacy of local anesthesia for in situ decompression of cubital tunnel syndrome.
  • To assess the feasibility of performing anterior transposition concurrently under local anesthesia.

Main Methods:

  • Retrospective review of patients undergoing cubital tunnel surgery.
  • Use of local anesthesia for in situ decompression.
  • Concurrent anterior transposition performed when indicated under local anesthesia.

Main Results:

  • Local anesthesia is a viable option for cubital tunnel decompression.
  • Anterior transposition can be safely performed in the same setting under local anesthesia.
  • Suitable for mild to moderate symptoms and those failing conservative care.

Conclusions:

  • Local anesthesia provides a safe and effective alternative for cubital tunnel syndrome surgery.
  • This approach may reduce risks associated with general anesthesia.
  • It allows for simultaneous procedures, improving patient convenience.