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Plastics / Burns

Hand Tendon Repair

Est. Duration: 1 hour

Summary

Last Updated: February 2025

General Anaesthesia Regional Anaesthesia Sedation

Technique:

Block:

Axillary Brachial Plexus Median Radial Ulnar

Last Updated: February 2025

Block

Block site + specfiic nerves dependent on location of tendon repair

Either

💉

Regional Block
ACF: Radial + Mid-forearm: Median + Ulnar
5ml 0.5% Bupivacaine for each nerve
Preserves elbow functionality, can help facilitate early discharge

or

💉

Regional Block
Axillary Brachial Plexus
5ml 0.5% Bupivacaine for each nerve
Block covers upper limb tourniquet site

Option A: Sedation

Propofol ( TCI, Cet 1-2 )
Airway
Capnomask - Titrate O2 as required

Option B: General Anaesthetic

Induction

Fentanyl ( 100mcg )
Propofol ( 200mg )
Airway
LMA - iGel

Maintenance

Sevoflurane ( MAC 1.2 )

Post-Op

Fentanyl ( Recovery Use Only )
Paracetamol ( 1g )
Ibuprofen ( 400mg )
Dihydrocodeine ( 30mg, PRN )
Ondansetron ( 4mg )
Cyclizine ( 50mg )

Other

Antibiotics as required