Until recently most hand surgeries was performed with a tourniquet to provide better visibility. The discomfort of the tourniquet is very unpleasant and unnecessary for patients. To avoid this, we have traditionally relied on an anesthesiologist to give sedation, brachial plexus or Bier block, or general anesthesia. A good alternative to traditional tourniquet hand surgery is to use only 2 medi...

Research indicates that using a combination of ketorolac and lidocaine in the administration of a Bier block results in significant postoperative analgesia and decreased inflammation; however, the optimal dose of ketorolac to coadminister with the local anesthetic has not been established. This study was performed to determine if a 20-mg dose of ketorolac is effective in providing prolonged pos...

When Bier of Kiel introduced his excellent method of treating tubercular joint affections by means of passive congestion, he indicated that the method he adopted had been formerly employed by others for the cure of ununited fracture. This mode of treatment, although apparently well known on the Continent, is somewhat novel here, and the two cases which follow may serve to illustrate the advanta...

Introduction Dural puncture is a commonly performed invasive procedure for various indications like diagnostic lumbar puncture, spinal anaesthesia, myelography and intrathecal chemotherapy. However, in anaesthesia practice apart from intentional dural puncture as in spinal anaesthesia, unintentional dural puncture can also occur while performing epidural anaesthesia or analgesia for various ind...

The purpose of this study was to investigate the practice pattern characteristics of anesthesia care in small, medium, and large teaching and non-teaching Medical Treatment Facilities (MTFs) in the Air Force. Data about anesthesia provider type, techniques and agents utilized, specialty services available, and military taskings affecting anesthesia providers (i.e. mobility exercises) were colle...