• Handchir Mikrochir Plast Chir · Jul 1991

    [Experiences with continuous nerve block of the wrist].

    • C Braun, M Bauer, and V Bühren.
    • Chirurgischen Universitätsklinik Homburg/Saar, Abteilung Unfallchirurgie.
    • Handchir Mikrochir Plast Chir. 1991 Jul 1;23(4):207-9.

    AbstractContinuous nerve blocks are effective analgesics for physiotherapy following operative procedures on gliding tissues. In the upper extremity, continuous axillary blocks are regularly used, leading to weak muscular action and even paralysis, although active muscle action is wanted. With continuous wrist blocks, extrinsic motor function of the hand remains undisturbed. Placement of a polyethylene catheter near the nerves with instillation of a local anesthetic (carbostesine 0.5, 3-4 ml per nerve) provides complete anesthesia of the hand without loss of extrinsic motor function. After 124 nerve blocks in 60 patients, no complications (infections, nerve irritations or lesions) have been observed. Continuous wrist blocks are indicated for postoperative treatment after tenolysis, joint mobilisation or arthrolysis, open reduction and internal fixation and in certain cases of chronic pain care.

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