Question

You have performed a Bier block anesthetic with 50 mL of lidocaine 0.5% for a patient undergoing closed reduction of a distal radius and ulna fracture. The procedure is complete, and your current tourniquet time is 20 minutes. An appropriate action would be to:

A. Deflate the tourniquet, immediately reinflate it for 60 seconds, then release it again
B. Deflate the tourniquet in 30 minutes and monitor the patient closely in the recovery area
C. Deflate the tourniquet in 60 minutes and monitor the patient closely in the recovery area
D. Deflate the proximal tourniquet, wait 5 minutes and then inflate the distal cuff for an additional 10 minutes

Answer 1

An appropriate action would be to deflate the tourniquet, immediately reinflate it for 60 seconds, then release it again.

Step-by-step explanation:

An appropriate action would be to deflate the tourniquet, immediately reinflate it for 60 seconds, then release it again. This is because the current tourniquet time is 20 minutes, which is nearing the upper limit of safe tourniquet use. Releasing the tourniquet and then reinflating it for a short duration helps to restore blood flow and prevent any potential complications.