Intravenous regional anaesthesia is suitable for:
Ohopedic manipulation on the upper limb
Vascular surgery on the lower limb
Head and neck surgery
Caesarian section
IVRA is indicated for procedures on upper limb or lower limb of less than one hour duration. - it consist of inj. of LA in vein of torniquet occluded limb - drug diffuses from vascular bed to non-vascular tissue such as nerve endings - regional anesthesia is produced in 2-5min. and last for a min. after deflating the torniquet - bupivacaine should never be used because of its cardiotoxicity
Anaesthesia