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

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

Hans van Schuppen ¹, Patrick Schober ¹

Hans van Schuppen ¹, Patrick Schober ¹

¹Amsterdam UMC, Amsterdam.

⁰Amsterdam UMC, Amsterdam.

The New England Journal of Medicine +

|

April 30, 2025

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Summary

No abstract available on PubMed

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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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