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2 results

  • Chapter 16 - Regional Anesthesia

  • Edited by Dharti Patel, Mount Sinai West and Morningside Hospitals, New York, Sang J. Kim, Hospital for Special Surgery, New York, Himani V. Bhatt, Mount Sinai West and Morningside Hospitals, New York, Alopi M. Patel, Rutgers Robert Wood Johnson Medical School, New Jersey
  • Book:
    BASIC Essentials
    Published online:
    21 February 2025
    Print publication:
    13 March 2025, pp 86-90

  • Summary

    Regional anesthesia is a recently growing field of anesthesia that aims to target direct surgical sources of pain for more regionalized pain control and improve patient’s postoperative pain scores but also limit the need for IV analgesic agents and their associated side effects. This chapter discusses different forms of regional anesthesia including IV regional anesthesia, neuraxial blocks, and TAP blocks and their associated complications including LAST.

  • Safety and effectiveness of intravenous regional anesthesia (Bier block) for outpatient management of forearm trauma

  • Bruce Mohr
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 8 / Issue 4 / July 2006
    Published online by Cambridge University Press:
    21 May 2015, pp. 247-250
    Print publication:
    July 2006
    • Article
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  • Objective:

    To assess the safety and effectiveness of intravenous regional anesthesia (Bier block) in the management of forearm injuries (i.e., forearm, wrist or hand) by primary care physicians at a diagnostic and treatment facility.

    Methods:

    A retrospective review was conducted of all patients at a single centre who underwent a Bier block for forearm injuries between September 2000 and March 2005.

    Results:

    1816 Bier blocks were performed on 1804 patients (64% male) during the study period. Patient age ranged from 4–70 (mean 25) years. Wrist fractures requiring reduction were the most common diagnosis. Adverse events were recorded in 9 cases (0.50%, 95% confidence interval 0.23%–0.94%): 1 case of medication error (0.06%); 3 of improper cuff inflation (0.17%); and 5 of inadequate analgesia (0.28%). None of the adverse events resulted in failure to complete the procedure or in serious morbidity or mortality.

    Conclusion:

    Bier block anesthesia is a safe, effective and reliable technique in an outpatient primary care setting. This technique is a useful modality for physicians who manage acute upper-extremity injuries.