Bier's block

A Case Report

Authors

DOI:

https://doi.org/10.22502/jlmc.v3i1.65

Keywords:

intravenous anesthesia, nerve block, plexus block, regional

Abstract

Introduction: Intravenous Regional Anesthesia (IVRA) has been first described in 1908 by the German surgeon August KG Bier. Although the technique was convenient to perform and effective in giving surgical anesthesia, the recent plexus block techniques have largely replaced the Bier’s block instantly because of time limitations and safety considerations of IVRA. Throughout the years, modifications in procedure and new pharmacologic adjuvants have shown to prevent toxic reactions to anesthetics and mitigate limitations of IVRA, still IVRA can be preferred as choice of anesthesia for short procedures.

Case Report: We present a case of 86 yr old male who was operated for radius fracture after a fall injury under Bier's Block or IVRA technique. Conclusion: IVRA can be the choice of anesthesia for short procedures because of rapid onset of anesthesia, easy administration and cheaper cost with special considerations on its side effects, complications which can be the outcome of technical errors.

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Author Biographies

  • Kalpana Kharbuja, Lumbini Medical College

    Lecturer

    Department of Anesthesiology and Critical Care

  • Mahesh Sharma, Lumbini Medical College

    Lecturer

    Department of Anesthesiology and Critical Care

  • Nil Raj Sharma, Lumbini Medical College

    Professor and Head

    Department of Anesthesiology and Critical Care

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Published

2015-06-30

Issue

Section

Case Report

How to Cite

1.
Bier’s block: A Case Report. J Lumbini Med Coll [Internet]. 2015 Jun. 30 [cited 2025 Sep. 14];3(1):23-4. Available from: https://www.jlmc.edu.np/index.php/JLMC/article/view/65

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