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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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.
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Related Experiment Video

Updated: Oct 14, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

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Modified distal digital block for nail unit surgery

Neha N Jariwala¹, Diego Ruiz Dasilva¹, Joseph F Sobanko¹

¹Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.

Journal of the American Academy of Dermatology

|November 9, 2021

Summary

No abstract available in PubMed .

Keywords:

local anesthetics nail unit nail unit surgery surgical dermatology

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