Bier Block

[drlee]

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Would a Bier Block provide adequate anesthesia for hand/finger/wrist fracture repair? I know Bier Blocks are only good for surgical procedures less than 1 hour but for the sake of argument let's assume our world-renown hand surgeon can finish a fracture repair within the that time.

 

[jwk]

Would a Bier Block provide adequate anesthesia for hand/finger/wrist fracture repair? I know Bier Blocks are only good for surgical procedures less than 1 hour but for the sake of argument let's assume our world-renown hand surgeon can finish a fracture repair within the that time.

Been there, done that.

 

[dhb]

Would a Bier Block provide adequate anesthesia for hand/finger/wrist fracture repair? I know Bier Blocks are only good for surgical procedures less than 1 hour but for the sake of argument let's assume our world-renown hand surgeon can finish a fracture repair within the that time.

yes
do it all the time
your surgeon doesn't have to be world-renown just not completely useless...

 

[Planktonmd]

Would a Bier Block provide adequate anesthesia for hand/finger/wrist fracture repair? I know Bier Blocks are only good for surgical procedures less than 1 hour but for the sake of argument let's assume our world-renown hand surgeon can finish a fracture repair within the that time.

Bier blocks for fractures of the lower end of the upper extremity are technically difficult: You need to start an IV very close to the fracture and you need to wrap the fracture with esmarch bandage before injecting ( very painful).
So, Why not do a real regional anesthetic?