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Complications of Intravenous Regional Anesthesia

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Complications of Regional Anesthesia

Abstract

Intravenous regional anesthesia (IVRA) of the limb was first described by Bier in 1908.1 The original technique involved the surgical exposure of, and direct injection of local anesthetic into, an antecubital vessel, of an exsanguinated and isolated upper limb, thereby rendering the tissue below the applied tourniquet insensitive to pain. IVRA is a simple and effective method of providing anesthesia to peripheral tissues that anatomically have a blood supply which can be occluded by a pneumatic cuff. The technique in use today consists of the placement of a catheter in a suitable vein before exsanguination of the surgical site by gravity or compression, the inflation of a pneumatic double tourniquet, and the injection of a local anesthetic into the venous system of the isolated limb. Serious IVRA-related complications are rare and can be classified as drug and tourniquet related.2

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Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, University of Alberta Hospital, Edmonton, Alberta, Canada

    Dominic A. Cave MB, BS, FRCPC (Assistant Clinical Professor) & Barry A. Finegan MB, BCh, FRCPC (Professor and Chair)

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  1. Dominic A. Cave MB, BS, FRCPC
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  2. Barry A. Finegan MB, BCh, FRCPC
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Editors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, T6G 2G3, Canada

    Brendan T. Finucane MB, BCh, BAO, FRCA, FRCPC (Professor) (Professor)

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Cave, D.A., Finegan, B.A. (2007). Complications of Intravenous Regional Anesthesia. In: Finucane, B.T. (eds) Complications of Regional Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68904-3_12

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