Skip to main content
NCBI home page
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1993 Sep;75(5):325–329.

An audit of peripheral nerve blocks for hand surgery.

J M Porter 1, C J Inglefield 1
PMCID: PMC2497956  PMID: 8215147

Abstract

A prospective audit of 140 median, radial and ulnar blocks, given for 70 hand operations is described. The surgery was completed successfully in every patient. A further injection of local anaesthetic was required in 13 operations. Four patients experienced severe tourniquet pain. The results of the audit have shown that if a careful technique is used, a wide range of minor hand operations can be performed under regional nerve block.

Full text

PDF
325

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Albright G. A. Cardiac arrest following regional anesthesia with etidocaine or bupivacaine. Anesthesiology. 1979 Oct;51(4):285–287. doi: 10.1097/00000542-197910000-00001. [DOI] [PubMed] [Google Scholar]
  2. Born G. Neuropathy after bupivacaine (Marcaine) wrist and metacarpal nerve blocks. J Hand Surg Am. 1984 Jan;9A(1):109–112. doi: 10.1016/s0363-5023(84)80197-5. [DOI] [PubMed] [Google Scholar]
  3. Conolly W. B., Berry F. R. The place of peripheral nerve blocks in reconstructive hand surgery. Hand. 1977 Jun;9(2):157–159. doi: 10.1016/s0072-968x(77)80011-9. [DOI] [PubMed] [Google Scholar]
  4. Helm R. H., Lee Y. S., Pho R. W. Experimental studies of the effect of bupivacaine on peripheral nerves. J Hand Surg Br. 1987 Feb;12(1):19–22. doi: 10.1016/0266-7681_87_90046-5. [DOI] [PubMed] [Google Scholar]
  5. Leversee J. H., Bergman J. J. Wrist and digital nerve blocks. J Fam Pract. 1981 Sep;13(3):415–421. [PubMed] [Google Scholar]
  6. Löfström J. B. Ulnar nerve blockade for the evaluation of local anaesthetic agents. Br J Anaesth. 1975 Feb;47 Suppl:297–300. [PubMed] [Google Scholar]
  7. Masser M. R., Moir G. C. A randomised controlled study to evaluate the effect of Naftidrofuryl in a rat ischaemic skin flap model. Br J Plast Surg. 1991 Jul;44(5):338–340. doi: 10.1016/0007-1226(91)90145-a. [DOI] [PubMed] [Google Scholar]
  8. Moore D. C., Bridenbaugh L. D., Thompson G. E., Balfour R. I., Horton W. G. Bupivacaine: a review of 11,080 cases. Anesth Analg. 1978 Jan-Feb;57(1):42–53. doi: 10.1213/00000539-197801000-00009. [DOI] [PubMed] [Google Scholar]
  9. Nyström A., Lindström G., Reiz S., Hanel D. P. Bupivacaine: a safe local anesthetic for wrist blocks. J Hand Surg Am. 1989 May;14(3):495–498. doi: 10.1016/s0363-5023(89)80010-3. [DOI] [PubMed] [Google Scholar]
  10. Porter J. M. A prospective audit of regional anaesthesia for hand surgery. Ann R Coll Surg Engl. 1992 Mar;74(2):89–94. [PMC free article] [PubMed] [Google Scholar]
  11. Selander D., Brattsand R., Lundborg G., Nordborg C., Olsson Y. Local anesthetics: importance of mode of application, concentration and adrenaline for the appearance of nerve lesions. An experimental study of axonal degeneration and barrier damage after intrafascicular injection or topical application of bupivacaine (Marcain). Acta Anaesthesiol Scand. 1979 Apr;23(2):127–136. doi: 10.1111/j.1399-6576.1979.tb01432.x. [DOI] [PubMed] [Google Scholar]
  12. Selander D., Dhunér K. G., Lundborg G. Peripheral nerve injury due to injection needles used for regional anesthesia. An experimental study of the acute effects of needle point trauma. Acta Anaesthesiol Scand. 1977;21(3):182–188. doi: 10.1111/j.1399-6576.1977.tb01208.x. [DOI] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES