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This collection of recipes is intended for educational purposes only. Users should adapt these recipes based on individual patient requirements, clinical judgment, and adherence to local and national guidelines.

We cannot be held liable for any adverse outcomes or issues arising from the use or application of these recipes.

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Gas Cookbook | Hand Tendon Repair

Hand Tendon Repair

Block Option A: Sedation Option B: General Anaesthetic Post-op

Plastics / Burns

Hand Tendon Repair

General Anaesthesia Regional Anaesthesia SedationDuration1 hourUpdatedJun 2026

Block Option A: Sedation Option B: General Anaesthetic Post-op

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

RegionalAxillary Brachial Plexus

5ml 0.5% Bupivacaine for each nerve

Block covers upper limb tourniquet site

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

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

By Jeremy Chui