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Regional anesthesia in resource-limited and disaster environments: a daring discourse

Scott Hughey1,2, Jacob Cole3,2, Benjamin Drew4,2

  • 1Anesthesiology and Pain Medicine, US Naval Hospital Okinawa, Okinawa, Japan scott.b.hughey@gmail.com.

Regional Anesthesia and Pain Medicine
|June 28, 2024
PubMed

Keywords:
ETHICSEmergency MedicineREGIONAL ANESTHESIA

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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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