Safety and Efficacy of Forearm Tourniquet Compared to Upper Arm Tourniquet for Local Intravenous Regional Anesthesia in Hand Surgery: A Randomized Clinical Trial

CONCLUSION: The forearm Bier block is a safe, efficient, cost-effective technique for intravenous regional anesthesia during hand surgery, and tourniquet deflation immediately following the procedure (<25 minutes) does not increase incidence of complications. The forearm tourniquet reduces the dose of local anesthetic and therefore risk for systemic toxicity, with similar effectiveness as compared to the upper arm technique.Level of Evidence: II.PMID:34552422 | PMC:PMC8259182

Source: Iowa orthopaedic journal - September 23, 2021 Category: Orthopaedics Authors: Alexander J Volkmar Molly A Day Ignacio Garcia Fleury Ericka A Lawler Melinda Seering Lindsey S Caldwell Source Type: research