Abstract

Peripheral nerve blocks in hand surgery. Short operations on the hand. Long operations, polyneuropathy, local anesthesia allergy. Identification of landmarks, skin disinfection, local anesthesia injection, surgery. Postoperative monitoring. We performed 75hand surgeries using distal nerve blocks over 3years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation area of the radial nerve and about 5% (n = 4) to the innervation area of the ulnar nerve. In 7% (n = 5) of cases, anesthesia of two neighboring innervation areas was necessary. The distal nerve block provides areliable form of anesthesia in hand surgery with low complication rates.

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