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Fear 'filled' complication: intravascular hyaluronic acid filler injection and tissue necrosis

Nicholas Jan Lichtenberg1, Nicholas James Otte1, Robert Choa1

  • 1Plastic & Reconstructive Surgery Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.

ANZ Journal of Surgery
|November 27, 2024
PubMed
Abstract

No abstract available in 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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