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  3. Regional Anaesthesia for Awake Hand Surgery: Block Failure and Troubleshooting Issues

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Regional Anaesthesia

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Regional Anaesthesia for Awake Hand Surgery: Block Failure and Troubleshooting Issues

Dr Emma Pack1†, Dr Megan Smith2

1Anaesthetic Registrar, Royal Free Hospital, London, UK

2Consultant Anaesthetist, Guy’s and St Thomas’ Hospital, London, UK

Edited by: Dr Su Cheen Ng, Consultant Anaesthetist, University College Hospital, London, UK; Dr Gillian Foxall, Consultant Anaesthetist, Royal Surrey County Hospital, Guildford, UK

†Corresponding author: e.pack@nhs.net

 

Published February 16, 2021

Abstract

Regional anaesthesia for hand surgery offers several advantages over general anaesthesia, but reasons for block failure are multifactorial. This tutorial highlights causes of failure, so that anaesthetists can maximise their chances of success and learn to salvage a partially working block.

creative commons

This work by WFSA is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/