• J Reconstr Microsurg · Oct 2001

    Continuous cervical epidural anesthesia in hand surgery.

    • A Noyan, S Cepel, S Ural, and A Ozel.
    • Instanbul Hand and Microsurgery Center, Aksaray, Istanbul, Turkey.
    • J Reconstr Microsurg. 2001 Oct 1; 17 (7): 481-2; discussion 483-5.

    AbstractRegional anesthesia, with its known benefits such as increased blood flow, reduced cost, and security, is a method of choice for hand surgery. Recently, the authors have switched from axillary block to continuous cervical epidural anesthesia, which has several advantages such as low cost, a pain-free postoperative period, better control of tourniquet pain, and the avoidance of a motor block so that early active motion is possible. Continuous cervical epidural anesthesia is a safe and reliable method, providing a sensory block with an infusion rate of 4 ml/hr ultracaine (articaine 2 percent), and a motor block when the dosage is increased to 8 ml/hr ultracaine (articaine 2 percent). Postoperatively, only 4 ml/hr ultracaine (articaine 2 percent) is sufficient to provide a sensory block. The method provides both good perfusion and a lower local anesthetic drug dosage than axillary block.

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