Intravenous regional anesthesia (IVRA) with forearm tourniquet for short-term hand surgery: A case report

Authors

Keywords:

IVRA, Forearm tourniquet, Contrast agent, Intraosseous passage, Local anesthetic toxicity

Abstract

Intravenous Regional Anesthesia (IVRA) was modified many times since its first use and these changes continue according to the type of surgery. A 36-year-old male patient was operated for trigger finger in the fascia of the first and second carpal bones. Because of the short operation time and for early detection of possible vascular or nerve damage after surgery, the IVRA method was used with the forearm tourniquet containing contrast agent. Forearm tourniquet can be preferred in short-term hand surgeries due to its advantages such as easy application, low side effect profile and early block recovery.

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References

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Arslanian B, Mehrzad R, Kramer T, Kim DC. Forearm Bier block: a new regional anesthetic technique for upper extremity surgery. Ann Plast Surg. 2014;73(2):156-7.

Chiao FB, Chen J, Lesser JB, Resta-Flarer F, Bennett H. Single-cuff forearm tourniquet in intravenous regional anaesthesia results in less pain and fewer sedation requirements than upper arm tourniquet. Br J Anaesth. 2013;111(2):271-5.

Vaughn N, Rajan N, Darowish M. Intravenous Regional Anesthesia Using a Forearm Tourniquet: A Safe and Effective Technique for Outpatient Hand Procedures. Hand (NY). 2020;15(3):353-9.

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Published

2021-12-01

Issue

Section

Case Report

How to Cite

1.
Mendes E, Cesur M, Sen E, Gocergil H. Intravenous regional anesthesia (IVRA) with forearm tourniquet for short-term hand surgery: A case report. J Surg Med [Internet]. 2021 Dec. 1 [cited 2024 Apr. 19];5(12):1227-9. Available from: https://jsurgmed.com/article/view/871142