Here are the steps that occur in the operating room. A Bier block usually takes about one hour.
- The doctor will put a cuff on the upper part of the limb.
- An IV is placed in the same limb. A second IV is placed in another extremity.
- The limb is raised in the air to help drain the blood, and the limb is wrapped to help drain the blood out through the IV.
- The cuff is inflated and the doctor puts the numbing medicine into the limb.
- The numbing medicine is left in the limb for a specific amount of time before the cuff is deflated. The doctor will decide how long the cuff stays inflated.
Once the Bier block is done, the doctor will come out and talk with you. Your child will still be asleep. After the procedure, your child will go to an area, called the Post Anesthesia Care Unit (PACU). In the PACU, your child will wake up from the sleeping medicine. A nurse will come to the waiting area and invite you to your child’s bedside. The amount of time children spend in the PACU varies, but is usually about an hour.
Children usually have no pain when they wake up.