Progression of forearm intravenous regional anesthesia with ropivacaine

Jean Louis Horn, Paul Cordo, Daniela Künster, Christopher Harvey, Anne Cherry, Alexander Bratt, Victor Gurfinkel

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


The progression of sensory blockade in the hand following a forearm Bier block with ropivacaine is currently unknown. The hands of 10 healthy adult human subjects were anesthetized with ropivacaine, and their sensitivities to cold and touch were tested until the completion of anesthesia. On average, insensitivity to cold occurred uniformly throughout the hand within 9 mins; however, touch sensation was not complete until approximately 20 mins after injection. The spread of anesthesia occurred in a semisystematic way, spreading proximally and distally from the site of injection (mid-dorsum of the hand), and, at a slower rate, from the dorsum of the hand to the palm.

Original languageEnglish (US)
Pages (from-to)177-180
Number of pages4
JournalRegional anesthesia and pain medicine
Issue number2
StatePublished - Mar 2011

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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