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

Year 2021, , 1227 - 1229, 01.12.2021

Ergun Mendes , Mehmet Cesur Elzem Sen Huseyin Gocergil

https://doi.org/10.28982/josam.871142

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.

Keywords

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

References

• 1. Loser B, Petzoldt M, Loser A, Bacon DR, Goerig M. Intravenous Regional Anesthesia: A Historical Overview and Clinical Review. J Anesth Hist. 2019;5(3):99-108.
• 2. Cousins GR, Gill SL, Tinning CG, Johnson SM, Rickhuss PK. Arm versus forearm tourniquet for carpal tunnel decompression - Which is better? A randomized controlled trial. J Hand Surg Eur Vol. 2015;40(9):961-5.
• 3. 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.
• 4. 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.
• 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.