Anesthesiologist Questions Anesthesiologist

What anesthesia is used for hand surgery?

I will have hand surgery. I want to know what anesthesia is used for hand surgery?

5 Answers

2 choices- I would prefer regional anesthesia with supraclavicular brachial plexus block, which will also control postop pain control.
The other choice would be general anesthesia.
It depends on what type of surgery you are having. If it is for an infection local anesthetic will not be sufficient but many tendon/finger surgeries can be done with minimal sedation and local. More extensive hand surgeries can be done with either IV regional or a regional block. It depends on the surgeon and anesthesia preference as well as what level you are comfortable with. Before surgery, your anesthesia provider should discuss options with you.

Barbara Watanabe, MD
It depends on the surgeon and the type of surgery. Most hand and wrist surgeries can be completed under local anesthesia with or without sedation. Some require a regional anesthesia such as an axillary block when the arm is numbed up. Others may require a general anesthesia. WALANT is a method wide awake , local, without tourniquet that is useful as well.
All kinds! It really just depends on the procedure. More and more hand surgery these days is done under straight local anesthesia in a “wide awake” setting.

Harrison B. Solomon, M.D.
Peripheral nerve block or general anesthesia.