Intravenous regional anesthesia - 06/09/11
Abstract |
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. Lidocaine is most commonly used in the USA. Recently, ropivacaine has also been studied. Adjuvants such as opioids, nonsteroidal anti-inflammatory drugs, and muscle relaxants have been used in several studies but the effects are generally unimpressive. Modifications of technique such as re-IVRA can improve the quality of block without affecting sensory or motor block. General recommendations for performing IVRA are provided. Copyright © 2000 by W.B. Saunders Company
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 | Address reprint requests to Narinder Rawal, MD, PhD, Department of Anesthesiology and Intensive Care, Örebro Medical Centre Hospital, SE-70185 Örebro, Sweden. |
Vol 4 - N° 1
P. 51-53 - janvier 2000 Retour au numéro
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