Hand Tendon Repair

General Anaesthesia Regional Anaesthesia SedationDuration1 hourUpdatedJun 2026ByGas Cookbook

Block site + specfiic nerves dependent on location of tendon repair

Either

RegionalACF: Radial + Mid-forearm: Median + Ulnar

5ml 0.5% Bupivacaine for each nerve

Preserves elbow functionality, can help facilitate early discharge

or

RegionalAxillary Brachial Plexus

5ml 0.5% Bupivacaine for each nerve

Block covers upper limb tourniquet site

For reference only. Always check doses against the BNF and your local protocols, and adapt to the patient in front of you. Gas Cookbook is community-shared guidance, not medical advice; clinical responsibility stays with you.

Block

Axillary Brachial Plexus Median Radial Ulnar

Technique

TIVA

PropofolTCI, Cet 1-2
AirwayCapnomaskTitrate O2 as required

Induction

Fentanyl100mcg
Propofol200mg
AirwayLMAiGel

Maintenance

SevofluraneMAC 1.2

Other

Antibiotics as required

Analgesia

FentanylRecovery Use Only
Paracetamol1g
Ibuprofen400mg
Dihydrocodeine30mg, PRN

Anti-emetic

Ondansetron4mg
Cyclizine50mg

Block

Option A: Sedation

Option B: General Anaesthetic

Post-op