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Percutaneous methods for the treatment of trigeminal neuralgia and other faciocephalic pain; comparison with

W H Sweet1

  • 1Massachusetts General Hospital, Neurosurgical Service, Boston 02114.

Seminars in Neurology
|December 1, 1988
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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