Anesthesia and positioning

  • Peter Brenner
  • Ghazi M. Rayan


DUPYTREN (1831; 1832) presumably used alcohol and opium as anesthetics, a common practice in his day. As he did not use a tourniquet, the patient’s hand was raised above heart level, and the surgeon stood behind the patient. Nowadays, we use brachial plexus block, a tourniquet, and the patient’s upper extremity is positioned on a special arm table. The surgeon sits comfortably next to the arm table and uses surgical loupes (McGROUTHER, 1988; WYLOCK, 1997). The arm is kept in about 90-degree abduction. The tourniquet is inflated to 300 mm Hg, in hypertensive patients it is inflated to 100 mm Hg above the systolic blood pressure.


Systolic Blood Pressure Hypertensive Patient Regional Anesthesia Usual Form Local Infiltration 
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Copyright information

© Springer-Verlag Wien 2003

Authors and Affiliations

  • Peter Brenner
    • 1
  • Ghazi M. Rayan
    • 2
  1. 1.Catholic University of LeuvenBelgium
  2. 2.University of OklahomaUSA

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