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[Oberst's block anesthesia].

作者信息

Saul Dominik, Roch Jonathan, Lehmann Wolfgang, Dresing Klaus

机构信息

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

出版信息

Oper Orthop Traumatol. 2020 Feb;32(1):18-22. doi: 10.1007/s00064-019-00633-y. Epub 2019 Oct 24.

DOI:10.1007/s00064-019-00633-y
PMID:31650198
Abstract

OBJECTIVE

Complete anesthesia of the phalanges of the fingers and toes.

INDICATIONS

All lesions distal to the metacarpophalangeal/metatarsophalangeal joint.

CONTRAINDICATIONS

Local infections at the injection site. Lesions proximal to the metacarpophalangeal/metatarsophalangeal joint.

TECHNIQUE

A subcutaneous deposit of a 0.5-2% local anesthetic is administered dorsoradially and dorsoulnarly at the base of the metacarpophalangeal/metatarsophalangeal joint. With the cannula advanced to palmar, an additional 0.5-1.5 ml is then administered to achieve complete anesthesia.

POSTOPERATIVE MANAGEMENT

The effect of the local anesthesia is self-limiting.

RESULTS

The Oberst block results in reliable anesthesia of the finger and toe. All surgical procedures distal to the metacarpophalangeal/metatarsophalangeal joint can be performed without pain.

摘要

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