[Distal hand block].

[Distal hand block].
Oper Orthop Traumatol. 2020 Jan 02;:
Authors: Tezval M, Spering C
Abstract
OBJECTIVE: Peripheral nerve blocks in hand surgery.
INDICATIONS: Short operations on the hand.
CONTRAINDICATIONS: Long operations, polyneuropathy, local anesthesia allergy.
TECHNIQUE: Identification of landmarks, skin disinfection, local anesthesia injection, surgery.
POSTOPERATIVE MANAGEMENT: Postoperative monitoring.
RESULTS: We performed 75 hand surgeries using distal nerve blocks over 3 years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation area of the radial nerve and about 5% (n = 4) to the innervation area of the ulnar nerve. In 7% (n = 5) of cases, anesthesia of two neighboring innervation areas was necessary. The distal nerve block provides a reliable form of anesthesia in hand surgery with low complication rates.
PMID: 31897502 [PubMed - as supplied by publisher]

Source: Operative Orthopadie und Traumatologie - January 1, 2020 Category: Orthopaedics Authors: Tezval M, Spering C Tags: Oper Orthop Traumatol Source Type: research