Abstract
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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Wien
About this chapter
Cite this chapter
Brenner, P., Rayan, G.M. (2003). Anesthesia and positioning. In: Dupuytren’s Disease. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6061-9_19
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6061-9_19
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7274-2
Online ISBN: 978-3-7091-6061-9
eBook Packages: Springer Book Archive