Bier, August Karl Gustav
Bier, August Karl Gustav
(ber)Bier block
Patient care
The limb is exsanguinated before the injection of the anesthetic either by milking blood from its distal end to the tourniquet and placing an Esmarch bandage to keep the blood from flowing back into it or by elevating it above the heart. The tourniquet (such as a blood pressure cuff) is then inflated, and the anesthetic is injected distally.