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Pediatric Application of Intravenous Regional Anesthesia
  1. John P. Rudzinski, MD and
  2. Leon L. Ampel, MD
  1. From the Departments of Emergency Medicine and Anesthesiology, Northwestern University, Chicago, and Glenbrook Hospital, Glenview, Illinois


General anesthesia is often felt to be indicated for extremity surgery in the pediatric population. We present our experience at a community hospital with the successful use of intravenous regional anesthesia (the Bier Block) in ten children, without complications. A review of the literature reveals Bier Block to be a safe and effective technique in children, with a number of seizures reported as a complication. We conclude intravenous regional anesthesia is a safe, effective, and preferable alternative to general anesthesia in the appropriate pediatric patient, and make recommendations in method of practice to improve its safety.

  • Anesthesia
  • intravenous regional
  • Block
  • Bier technique
  • Pediatrics
  • regional anesthesia
  • upper extremity surgery
  • Surgery
  • upper extremity
  • pediatric
  • Complications
  • Bier block technique

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