Bier's block; 100 years old and still going strong!

被引：61
作者：
Brill, S [1 ]
Middleton, W
Brill, G
Fisher, A
机构：
[1] Chaim Sheba Med Ctr, Dept Anesthesiol & Intens Care, IL-52621 Tel Hashomer, Israel
[2] Clalit Hlth Serv, So Dist, Beer Sheva, Israel
[3] Toronto Western Hosp, Dept Anesthesia, Univ Hlth Network, Toronto, ON M5T 2S8, Canada
来源：
ACTA ANAESTHESIOLOGICA SCANDINAVICA | 2004年 / 48卷 / 01期
关键词：
Bier block; IVRA; history;
D O I：
10.1111/j.1399-6576.2004.00280.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
In August 1908 Karl August Bier, Professor of Surgery in Berlin, described a new method of producing analgesia of a limb which he named 'vein anesthesia'. Bier first presented his new method of intravenous regional anesthesia (IVRA) at the 37th Congress of the German Surgical Society on 22 April, 1908, only 10 years after his significant communication on spinal anesthesia (1). His method, which now bears his name, consisted of occluding the circulation in a segment of the arm with two tourniquets and then injecting a dilute local anesthetic through a venous cut-down in the isolated segment. Bier had the good fortune to use procaine, the first safe injectable local anesthetic that had been synthesized by Einhorn in 1904.
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页码：117 / 122
页数：6
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