Mohammad Tezval1, Christopher Spering2. 1. Klinik für Unfallchirurgie, Sporttraumatologie und Handchirurgie, Klinikum Vest, Dorstener Str. 151, 45657, Recklinghausen, Deutschland. mohammad.tezval@klinikum-vest.de. 2. Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Abstract
OBJECTIVE: Peripheral nerve blocks in hand surgery. INDICATIONS: Short operations on the hand. CONTRAINDICATIONS: Long operations, polyneuropathy, local anesthesia allergy. TECHNIQUE: Identification of landmarks, skin disinfection, local anesthesia injection, surgery. POSTOPERATIVE MANAGEMENT: Postoperative monitoring. RESULTS: We performed 75 hand surgeries using distal nerve blocks over 3 years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation area of the radial nerve and about 5% (n = 4) to the innervation area of the ulnar nerve. In 7% (n = 5) of cases, anesthesia of two neighboring innervation areas was necessary. The distal nerve block provides a reliable form of anesthesia in hand surgery with low complication rates.
OBJECTIVE: Peripheral nerve blocks in hand surgery. INDICATIONS: Short operations on the hand. CONTRAINDICATIONS: Long operations, polyneuropathy, local anesthesia allergy. TECHNIQUE: Identification of landmarks, skin disinfection, local anesthesia injection, surgery. POSTOPERATIVE MANAGEMENT: Postoperative monitoring. RESULTS: We performed 75 hand surgeries using distal nerve blocks over 3 years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation area of the radial nerve and about 5% (n = 4) to the innervation area of the ulnar nerve. In 7% (n = 5) of cases, anesthesia of two neighboring innervation areas was necessary. The distal nerve block provides a reliable form of anesthesia in hand surgery with low complication rates.
Entities:
Keywords:
Anesthetic agents; Hand injuries; Local anesthesia; Nerve blockade; Surgical procedures
Authors: Janak Chandrasoma; T Kyle Harrison; Howard Ching; Lindsey Vokach-Brodsky; Larry F Chu Journal: N Engl J Med Date: 2018-09-06 Impact factor: 91.245