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Updated: Jan 20, 2026

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
01:16

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[Intravenous regional anesthesia].

Mohammad Tezval1, Christopher Spering2

  • 1Klinik für Unfallchirurgie, Sporttraumatologie und Handchirurgie, Dorstener Str. 151, 45657, Recklinghausen, Deutschland. mohammad.tezval@klinikum-vest.de.

Operative Orthopadie Und Traumatologie
|August 31, 2019
PubMed
Summary
This summary is machine-generated.

Intravenous regional anesthesia (IVRA) is a safe and effective anesthetic method for short-duration hand surgeries. This technique demonstrated no complications in 90 procedures over two years, highlighting its reliability for hand operations.

Keywords:
Anesthesia techniqueContraindicationsHand surgeryPostoperative complicationsTourniquets

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Area of Science:

  • Anesthesiology
  • Orthopedic Surgery

Background:

  • Intravenous regional anesthesia (IVRA) is a technique used for limb anesthesia.
  • Its application in hand surgery requires careful consideration of indications and contraindications.

Purpose of the Study:

  • To evaluate the efficacy and safety of IVRA for short-duration hand operations.
  • To assess patient recovery quality after IVRA.

Main Methods:

  • IVRA was performed on 90 patients undergoing hand surgery over two years.
  • A double lumen cuff and Esmarch's tourniquet were utilized.
  • Postoperative recovery was assessed using the Quality of Recovery-9 score.

Main Results:

  • The average patient age was 61 years.
  • The tourniquet removal time averaged 29 minutes post-surgery.
  • No intraoperative or postoperative complications were reported.

Conclusions:

  • IVRA is a reliable and simple anesthetic method for hand surgery.
  • The technique is well-tolerated with excellent recovery outcomes.
  • IVRA is a suitable option for indicated hand procedures.