Definition: Bier's Block
A method for inducing arrhythmias in a patient who is "on no medication, had
no prior history of heart disease, and who had a normal pre-op ECG."
Can't think of any other indications...
>From: "Cliff Reid" <[log in to unmask]>
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>Subject: Re: VT and acidosis
>Date: Sun, 20 Feb 2000 07:31:30 PST
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>>I've seen horrible-looking arrhytmias after ischaemic legs have been
>>reperfused in theatre, so could well be "washout".
>>
>
>Yesterday I saw a 30-second run of multifocal PVCs on the monitor occuring
>about 30 seconds to a minute after deflating the cuff used for a Bier's
>block on an 80 year old lady with a colles' # who was on no medication, had
>no prior history of heart disease, and who had a normal pre-op ECG. Thought
>this might be a similar phenomenon. The cuff had been inflated for 30
>minutes after the prilocaine injection so local anaesthetic cardiotoxicity
>is unlikely.
>
>A Medline search using the strategy:
>
>1 Arrhythmia/ 34354 Display
>2 exp Reperfusion/ 5365 Display
>3 1 and 2 209 Display
>4 limit 3 to (human and english language) 40
>
>didn't reveal anything on this.
>
>Cliff Reid
>SpR in (A&)EM
>North Hampshire Hospital
>
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