• Best Pract Res Clin Anaesthesiol · Jun 2002

    Anaesthesia for procedures of the hand and elbow.

    • Anthony R Brown.
    • College of Physicians & Surgeons, Columbia University, New York, NY, USA.
    • Best Pract Res Clin Anaesthesiol. 2002 Jun 1; 16 (2): 227-46.

    AbstractThe majority of upper extremity surgeries are performed on an ambulatory basis under intravenous regional anaesthesia or brachial plexus blockade. The former technique is easy to perform, has a rapid onset and a high success rate but provides limited post-operative analgesia. Brachial plexus blockade provides excellent intraoperative anaesthesia as well as post-operative analgesia, eliminates the need for post-operative opioids, resulting in a decrease in recovery time, shortened hospital stay, increased patient satisfaction and ultimately a decrease in perioperative costs when compared with general anaesthesia. This chapter reviews upper extremity surgical procedures performed below the shoulder, the anaesthetic options available, and techniques used to optimize post-operative pain control.

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