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A 34-year-old member asked:

Preparing for pisiform wrist surgery, what is best/longest lasting nerve block? is brachial axillary longer/wider cover than wrist block? any others?

2 doctor answers3 doctors weighed in
Dr. David Simons
Anesthesiology 40 years experience
Ancillary block: An axillary block would be my choice - these blocks are done under ultrasound guidance safely by trained anesthesiologists the wrist block can work but would not give relief from pain associated with a tourniquet if used by the surgeon. Axillary blocks may last up to 24 hours with the longer acting anesthetics and the addition of steroid.
Dr. James Henning
Anesthesiology 51 years experience
That Depends..: Wrist blocks are used most often for procedures lasting 30 minutes or less, unless supplemented by other nerve blocks that allow forearm tourniquet placement. Length of anesthesia relates more to anesthetic used +/- Epinephrine than block technique. Brachial plexus blocks work well if supplemented by a musculocutaneous nerve block. Bottom line: rely on your experienced anesthesiologist to advise!
Last updated Nov 23, 2014

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