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Initial Intraosseous or Intravenous Access for Out-of-Hospital Cardiac Arrest

Joshua R Lupton1, Jonathan Jui1, Mohamad R Daya1

  • 1Oregon Health and Science University, Portland.

The New England Journal of Medicine
|April 30, 2025
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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