Fasting before prilocaine Biers' block

Is fasting necessary before prilocaine Bier's block?

OBJECTIVE To determine whether fasting is necessary before intravenous regional anaesthesia (Bier's block). METHODS A questionnaire study was carried out to assess accident and emergency (A&E) departments' policies and opinions in relation to Bier's block anaesthesia. Questionnaires were sent to 282 A&E consultants, of whom 216 replied (77% response rate). RESULTS About 5000 Bier's block pr...

Comparison of clinical effects of prilocaine, dexamethasone added to prilocaine and levobupivacaine on brachial plexus block.

OBJECTIVE To determine whether the addition of 8 mg dexamethasone to axillary brachial plexus block would prolong the duration of sensory and motor block in patients undergoing hand and forearm surgery. METHODS The prospective, randomised, double-blinded study was conducted at the Eskisehir Osmangazi University Medical School, Turkey, from October 2008 to December 2009. It comprised 45 Americ...

Prilocaine for Bier's block: how safe is safe?

Prilocaine has become the agent of choice for Bier's block (or intravenous regional anaesthesia--IVRA), since 1983 when the product licence of bupivacaine was withdrawn for this purpose owing to fatal or serious complications. No serious complications have been documented in the literature relating to prilocaine in IVRA and we have conducted a survey within the U.K. which indicates that about 4...

Prilocaine-induced Methemoglobinemia.

What is the ED95 of prilocaine for femoral nerve block using ultrasound?

BACKGROUND Our aim was to estimate the ED95 of prilocaine 1% w/v for femoral nerve block. METHODS This two-stage dose-finding sequential clinical trial followed an adaptive design based on the continual reassessment method (CRM). Adult patients undergoing Vastus medialis muscle biopsy under ultrasound-guided femoral nerve block were recruited. Data from previously published studies and our ow...