[Distal hand block].

Distaler Handblock.
Anesthetic agents Hand injuries Local anesthesia Nerve blockade Surgical procedures

Journal

Operative Orthopadie und Traumatologie
ISSN: 1439-0981
Titre abrégé: Oper Orthop Traumatol
Pays: Germany
ID NLM: 9604937

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 16 03 2019
accepted: 30 08 2019
revised: 13 08 2019
pubmed: 4 1 2020
medline: 3 3 2020
entrez: 4 1 2020
Statut: ppublish

Résumé

Peripheral nerve blocks in hand surgery. Short operations on the hand. Long operations, polyneuropathy, local anesthesia allergy. Identification of landmarks, skin disinfection, local anesthesia injection, surgery. Postoperative monitoring. 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.

Identifiants

pubmed: 31897502
doi: 10.1007/s00064-019-00639-6
pii: 10.1007/s00064-019-00639-6
doi:

Types de publication

Journal Article Review

Langues

ger

Sous-ensembles de citation

IM

Pagination

23-28

Références

Anaesthesia. 2015 Feb;70(2):183-9
pubmed: 25290190
N Engl J Med. 2018 Sep 06;379(10):e15
pubmed: 30184448
JBJS Essent Surg Tech. 2018 Mar 14;8(1):e7
pubmed: 30233979
N Engl J Med. 2018 Nov 29;379(22):2181-2
pubmed: 30499644

Auteurs

Mohammad Tezval (M)

Klinik für Unfallchirurgie, Sporttraumatologie und Handchirurgie, Klinikum Vest, Dorstener Str. 151, 45657, Recklinghausen, Deutschland. mohammad.tezval@klinikum-vest.de.

Christopher Spering (C)

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.

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Classifications MeSH