Bloqueo de BIER en la cirugía ambulatoria de extremidades

Abstract

Introduction: Outpatient limb surgery procedures are brief or short-duration surgical methods, and there are various ways to perform them, using topical, local, and regional anesthesia, useful for an acute pain condition. Lately, literature advises using Bier block or regional intravenous anesthesia, which involves producing analgesia in a limb part through intravenous infiltration while the blood circulation is occluded. Therefore, this technique in outpatient surgery would be an effective method due to its short duration, simple procedure, and, above all, it is non-invasive compared to other common anesthetic methods. Literature Review: Bier's block allows for rapid intervention in patients requiring outpatient limb surgery, as this anesthetic method provides patients with a fast medical discharge, avoids unnecessary expenses from hospital stays, has minimal complications, is safe and effective, and requires minimal medical personnel. Compared to other anesthetic methods, such as plexus block or spinal anesthesia, it has the same effectiveness and can be used in patients who have contraindications to general anesthesia. Conclusions: The efficacy, advantages, and disadvantages of the anesthetic method for outpatient extremity surgeries were determined, as well as the possible uses compared to spinal anesthesia, plexus block, or general anesthesia, as this technique provides a favorable prognosis for the patient