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Performing Hand Surgery Under Local Anesthesia Without a Tourniquet in China

Jin Bo Tang1, Ke Tong Gong2, Lai Zhu3

  • 1Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

Hand Clinics
|July 5, 2017
PubMed

Keywords:
AnesthesiaCarpal tunnel releaseCost and efficiency of hand surgeryHand fracturesTendon repairsTourniquetTumor resection

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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...