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Perioperative Pain Management in Hand and Upper Extremity Surgery 

Perioperative Pain Management in Hand and Upper Extremity Surgery
Chapter:
Perioperative Pain Management in Hand and Upper Extremity Surgery
Author(s):

Marc E. Walker

, David M. Tsai

, and J. Grant Thomson

DOI:
10.1093/med/9780190457006.003.0020
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date: 20 February 2020

In the past three decades, the number of outpatient surgery centers in the United States has risen exponentially. Hand and upper extremity surgery is no exception, and in many respects, with the modern advancements in anesthesia care, surgery of the hand is one of the best-suited fields for such change. This chapter explores the physiologic aspects of pain, as well as both historical and modern interventions of pain management for such patients. The authors discuss perioperative pharmacological and procedural treatments including various anesthesia options, peripheral and regional nerve blockades, wide-awake local anesthesia no tourniquet (WALANT) technique, and postoperative pain management for hand and upper extremity surgery.

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