Single Sterile Silicon Ring Technique for Utilization of Upper Limb Intravenous Regional Anesthesia: A Prospective Study of Patients with Operated Distal Radius Fractures.

Bier's block, or intravenous regional anesthesia (IVRA), is an effective method of providing adequate analgesia in upper extremity surgery [1]. The method includes application of a double tourniquet device to the arm followed by exsanguination of upper extremity with an Esmarch bandage and inflation of the proximal tourniquet [2]. Anesthesia and analgesia are achieved by injecting the local anesthetic solution into a peripheral vein [3]. When the patient complains of pain at tourniquet site, the distal tourniquet is inflated and the proximal is deflated to provide pain relief.
Source: Injury - Category: Orthopaedics Authors: Source Type: research