Article Text

Download PDFPDF

#36262 Bier blocks in ambulatory surgery: a wellcomed comeback or old news?
  1. Maria José de Barros e Castro Bento Soares1,
  2. Joana van der Kellen2 and
  3. Paula Ribeiro1
  1. 1Anestesia, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
  2. 2Anestesia, Centro Hospitalar Lisboa Ocidental, Lisboa, France


Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submission

Background and Aims Intravenous regional anesthesia, commonly known as Bier Block (BB), consists of administering a local anesthetic into the venous system of an exsanguinated limb that is isolated from the systemic circulation by a tourniquet. It is a simple technique that does not require the use of an ultrasound device, provides a blockade that is quickly installed and reversed and a surgical field with minimal blood loss. For this reasons it has a lot o potencial in ambulatory surgery.

Methods We gathered perioperative information concerning every adult patient that was subjected to a BB in Egas Moniz Hospital’s Ambulatory Surgery Unit between the january first 2022 ant March 30th 2023. The data was analyzed using Microsoft Excel®.

Results A total of 11 patients underwent surgery under BB. The duration of the surgical procedure was less than 60 min in 8 of the surgeries and lasted between 60-90 min in the remaining 3. No complications were registered, namely LAST or pain associated with tourniquet. Discharge time after surgery was on average 147 minutes after surgery. Only 5 patients had pain 24h after surgery, and all were able to control the pain with oral analgesics. No patient had pain 48h after surgery.

Conclusions Intravenous regional anesthesia has a high potential to be used in an outpatient setting, as it allows adequate anesthesia for short-term surgeries and is rapidly reversed, allowing the limb to be mobilized before discharge.

Attachment Estudo BLOQUEIOS DE BIER EM AMBULATÓRIO » Parecer da CES do CHLO.pdf

  • Bier Block
  • ambulatory surgery
  • Intravenous regional anesthesia

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.