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Ketamine for Intravenous Regional Anesthesia
Anesthesia & Analgesia, 1989We studied ketamine intravenous regional anesthesia of the upper extremity in volunteers using concentrations of 0.5%, 0.3%, and 0.2%. Ketamine 0.5 and 0.3% produced adequate intravenous regional anesthesia. Anesthesia was inadequate when a 0.2% concentration was used. However, although the 0.3% concentration provides complete sympathetic, sensory, and
Elemer K. Zsigmond +3 more
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Intraosseous Regional Anesthesia as an Alternative to Intravenous Regional Anesthesia
The Journal of Trauma: Injury, Infection, and Critical Care, 1995A series of 109 orthopedic operations was performed under intraosseous regional anesthesia on the upper and lower limbs. Anesthesia was satisfactory in 106 of the cases; in the other three, inadequate anesthesia was caused by faulty technique. The spread of lidocaine into the bone and venous network was demonstrated by radiography, and the blood levels
M. Waisman +3 more
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Intravenous regional anesthesia
Techniques in Regional Anesthesia and Pain Management, 2000Abstract Intravenous regional anesthesia (IVRA) is one of the most common regional techniques worldwide. The mechanism of action is multifactorial but the main action of the local anesthetic seems to be on the larger nerves in the vicinity of the antecubital fossa. Prilocaine is considered the safest local anesthetic for IVRA.
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Intravenous Regional Anesthesia in Hand Surgery
The Journal of Bone & Joint Surgery, 1964We have found intravenous regional anesthesia, by the method of expressing the blood, applying a temporary tourniquet, injecting the lidocaine, then placing the second tourniquet on an anesthetized portion of the arm and removing the first tourniquet, to be a very simple and effective way to achieve anesthesia in operations on the hand.
John P. Adams +2 more
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Site of Action of Intravenous Regional Anesthesia
Survey of Anesthesiology, 1984The principal site of action of intravenous regional anesthesia was studied using both prilocaine HC1 0.5% and technetium pertechnetate to define their distribution in the upper limb during this method of anesthesia. Using a single upper arm tourniquet and injecting technetium pertechnetate into a cubital fossa vein, the isotope spread to the finger ...
C. J. Glynn, P. E. Lillie, D. G. Fenwick
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Intravenous regional anesthesia: A review
Seminars in Anesthesia, Perioperative Medicine and Pain, 1998I NTRAVENOUS regional anesthesia (IVRA), commonly known as Bier 's block, was first described in 1908 by Karl August Bier, Professor of Surgery at the University of Berlin.1 The technique gained popularity early on, but fell into relative obscurity because it was too cumbersome.
Vonda Bobart +2 more
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Pharmacokinetic Aspects of Intravenous Regional Anesthesia
Anesthesiology, 1971The kinetics of disposition of lidocaine after intravenous regional anesthesia of the arm and direct intravenous infusion were studied in volunteers. Plasma levels of the drug in blood samples from a contralateral artery and in some cases also from the pulmonary artery and a contralateral vein ...
Robert A. Boas, G.T. Tucker
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Complications of Intravenous Regional Anesthesia [PDF]
, 2007 Intravenous regional anesthesia (IVRA) of the limb was first described by Bier in 1908.1 The original technique involved the surgical exposure of, and direct injection of local anesthetic into, an antecubital vessel, of an exsanguinated and isolated upper limb, thereby rendering the tissue below the applied tourniquet insensitive to pain.
Barry Finegan, Dominic A. Cave
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