Abstract
Introduction: Intravenous Regional Anesthesia (IVRA) has been first described in 1908 by the German surgeon August KG Bier. Although the technique was convenient to perform and effective in giving surgical anesthesia, the recent plexus block techniques have largely replaced the "Bier’s block" instantly because of time limitations and safety considerations of IVRA. Throughout the years, modifications in procedure and new pharmacologic adjuvants have shown to prevent toxic reactions to anesthetics and mitigate limitations of IVRA, still IVRA can be preferred as choice of anesthesia for short procedures.
 Case Report: We present a case of 86 yr old male who was operated for radius fracture after a fall injury under Bier's Block or IVRA technique. Conclusion: IVRA can be the choice ofanesthesia for short procedures because of rapid onset of anesthesia, easy administration and cheaper cost with special considerations on its side effects, complications which can be the outcome of technical errors.
Highlights
Intravenous Regional Anesthesia (IVRA) has been first described in 1908 by the German surgeon August KG Bier
The technique was easy to perform, providing a quite rapid onset of surgical anesthesia and an acceptable muscular relaxation; time limitations and safety considerations remained as a matter paramount importance
The current study was a reported case of two days old right distal radius fracture acquired after a fall which was corrected with closed reduction with K wire fixation using external fixation all performed under the IVRA technique (Bier’s block)
Summary
Intravenous Regional Anesthesia (IVRA) has been first described in 1908 by the German surgeon August KG Bier. INTRODUCTION: In August 1908, KG Bier, Professor of Surgery at Berlin, first described a technique in which a local anesthetic solution (procaine) was administered intravenously into a limb with the arterial blood supply occluded by a tourniquet.[1] the technique was easy to perform, providing a quite rapid onset of surgical anesthesia and an acceptable muscular relaxation; time limitations and safety considerations remained as a matter paramount importance.
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