bandage-green

Hand and Elbow Soft Tissue Procedures (Dupuytren, Mallet Finger, Tendon Transfer, Ulnar Collateral Ligament)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, one arm extended
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Supraclavicular, Axillary, Bier, Digit
Considerations : Tourniquet

Anesthetic Approaches

1Nerve Block
2GLMA
3MAC, Conscious Sedation
The Surgery

Exsanguination and tourniquet - the arm is elevated or wrapped and a tourniquet inflated, because all of this work needs a bloodless field to see nerves and tendons. Dupuytren release - the diseased...

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