Intravenous regional anesthesia (Bier block)

Barry, Laura A; Balliana, Sergio A; Galeppi, Alberto C.

doi:10.1053/j.trap.2006.07.005

Cited by 12 publications

(9 citation statements)

References 25 publications

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“…5 The largest volume infused (*1 liter) was delivered in less than 18 min, a time frame that is well within the established safety time limit of 1.5-2 hr of tourniquet time for regional intravenous limb anesthesia. 29 The rate of infusion used in this study was up to 80 ml/min, which is comparable to that used in some large animal studies of 60-120 ml/min. 28,30,31 Based on experience from preclinical canine therapeutic trials, we adopted a dual-pump system.…”

Section: Discussionmentioning

confidence: 56%

High-Pressure Transvenous Perfusion of the Upper Extremity in Human Muscular Dystrophy: A Safety Study with 0.9% Saline

et al. 2015

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Section: Discussionmentioning

confidence: 56%

High-Pressure Transvenous Perfusion of the Upper Extremity in Human Muscular Dystrophy: A Safety Study with 0.9% Saline

et al. 2015

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“…IVRA can be performed with many local anesthetics and adjuvant agents. 1 In our study we planned to compare cardiac effects and ECG changes by IVRA with lidocaine and lidocaine plus ketamine. Our primary outcome: Is ketamine+lidocaine combination makes any differences on QT and QTc versus sole lidocaine solution?…”

Section: Discussionmentioning

confidence: 99%

“…Various local anesthetics and adjuvant agents can be used in IVRA. Their effective dose and side effect profiles are different 1 and their effects on autonomic cardiac functions should be considered during the application. The selection of the local anesthetic agent, the dose to be administered and the adjuvant agent, the tourniquet used is important in the success of IVRA.…”

Section: Discussionmentioning

confidence: 99%

“…In 1963 it was growing up again when it was performed with lidocaine by Holmes. 1 It is used especially by forearm and hand surgery. Intravenous regional anesthesia is preferred when compared to general anesthesia, it is safe when applied correctly, it is advantageous from general anesthesia in emergency operations, it has a high chance of success compared to peripheral nerve blocks and it is easier to apply.…”

Section: Introductionmentioning

confidence: 99%

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Farklı Anestezik Ajanların Rejyonel İntravenöz Anestezi Yapılan Hastalarda Elektrokardiyografik Değişiklikler Üzerine Etkisi

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et al. 2020

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Çalışmamızda lidokain ve lidokain+ ketamine ile intravenöz rejyonel anestezi (İVRA) uygulanan hastalardaki elektrokardiyografik değişiklikleri karşılaştırmayı amaçladık. Materyal ve Metot: Çalışmamız prospektif, gözlemsel, randomize ve çift kör olarak yapıldı. İVRA altında kol ve önkol operasyonu geçirecek ASA I-II statüsünde 18-60 yaş arası 70 hasta çalışmaya alındı. Çift kaflı turnike opere edilecek ekstremiteye yerleştirildi. Hastalar randomize ve olarak 2 gruba ayrıldı. Group 1: % 0,5 Lidokain+Ketamin 0,8 mg/kg; 40 ml. Group 2: % 0,5 Lidokain 40 ml olarak belirlendi. Enjeksiyondan 20 dakika sonra distal kaf şişirilerek proksimal kaf 3 dakikada bir 50 mmHg hızda indirildi. Zaman periyodları turnike indirilmesinin başlamasından itibaren 0, 5, 10, 15, 30, 45, 60. dakika ve turnike indirilmesinden 10 dakika sonra olarak belirlendi. İnvaziv olmayan kan basıncı değerleri, kalp atım hızı, puls oksimetre değerleri kaydedildi. Elektrokardiyografik kayıtlar alınarak PR, RR, QT intervalleri, QTc değerleri kaydedildi. Bulgular: Lidokain+ketamin grubunda QT basal değerleri QT5. dk, QT10. dk, QT15. dk , QT30. dk, QT45. dk, QT60. dk ve QTtur10 değerlerinden düşük bulundu. QTc bazal değerleri grup lidokain + ketamin QTctur10 değerlerinden daha düşük bulundu (p <0,001). Sonuç: Lidokain grubunda belirgin bir değişiklik gözlenmedi. Turnike indirilmesinden sonra lidokain+ketamin grubunda QT, QTc değerlerinde ve özellikle noninvaziv kan basıncı değerlerinde belirgin artış gözlendi.

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“…It is well known that vascular elasticity decreases with increasing age. The amount of venous pressure that occurs during the injection of local anesthetic is dependent on the volume of the anesthetic agent [ 16 , 17 ]. Therefore, high-concentration low-volume anesthesia may be helpful to avoid exceeding tourniquet pressure, particularly in elder patients whose vascular elasticity is decreased.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of two different volumes of lidocaine in intravenous regional anesthesia

et al. 2013

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BackgroundThis study was conducted to compare low concentration-high volume intravenous regional anesthesia (IVRA) method with local anesthetic method in upper extremity surgery in terms of efficiency and adverse effects.Material/MethodsThirty-nine patients were divided into 2 groups; the first group received a 2% concentration of 12–15 mL lidocaine (Group 1) and the second group received a 0.5% concentration of 30–50 mL lidocaine (Group 2). Intraoperative hemodynamic data of patients (systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate, and peripheral oxygen saturation- SpO2) was recorded before and after anesthesia at 1, 5, 10, 15, 20, and 40 minutes.ResultsThe intergroup and intragroup comparisons did not reveal any significant differences in hemodynamic data. The onset time of sensorial block was shorter and the regression time of sensorial block was longer in Group 1 than Group 2. Group 1 had shorter onset time of motor block and longer regression time of motor block than Group 2. There were no significant differences between the study groups in terms of the time of tourniquet and postoperative analgesia time.ConclusionsIVRA technique applied with 2% concentration and volume of 12–15 mL lidocaine may be suggested as a safe option.

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Intravenous regional anesthesia (Bier block)

Cited by 12 publications

References 25 publications

High-Pressure Transvenous Perfusion of the Upper Extremity in Human Muscular Dystrophy: A Safety Study with 0.9% Saline

High-Pressure Transvenous Perfusion of the Upper Extremity in Human Muscular Dystrophy: A Safety Study with 0.9% Saline

Farklı Anestezik Ajanların Rejyonel İntravenöz Anestezi Yapılan Hastalarda Elektrokardiyografik Değişiklikler Üzerine Etkisi

Comparative evaluation of two different volumes of lidocaine in intravenous regional anesthesia

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