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StatPearls, LLC

  • Anesthesia
  • Anesthetics, Local
  • Ketamine
  • Ketorolac
  • Tourniquets

Bier Block

Intravenous regional anesthesia (IVRA), or Bier block, is a long-established anesthetic technique for short surgical procedures and managing extremity pain. The method involves administering a local anesthetic into the venous system of an isolated limb after tourniquet application, resulting in rapid, reversible anesthesia. IVRA remains valuable in outpatient, perioperative, and emergency settings due to its simplicity, effectiveness, and minimal equipment needs. Safe use requires substantial knowledge of anatomy, pharmacology, patient selection, and technique. Complications such as local anesthetic systemic toxicity, methemoglobinemia, and tourniquet injury necessitate vigilance and readiness for immediate management. Innovations such as forearm tourniquet placement and adjunctive medications, including ketorolac, dexmedetomidine, and ketamine, enhance comfort, extend duration, and improve safety. Participants in this course gain comprehensive knowledge and technical proficiency in performing IVRA using updated, evidence-based protocols. Instruction focuses on patient selection, dosing, procedural technique, and rapid recognition and treatment of complications. Clinicians learn to apply safety checklists, integrate adjuncts, and optimize outcomes through structured interprofessional collaboration. Anesthesia clinicians, surgeons, perioperative nurses, and emergency staff coordinate during preparation, monitoring, and recovery, ensuring efficiency and communication. Participants enhance patient safety, minimize complications, and deliver high-quality anesthesia care across diverse clinical environments by improving procedural skills and teamwork.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

AAPA Category 1 Credit™Up to 1.5 creditsAMA PRA Category 1 Credit™Up to 1.5 creditsNursingUp to 1.5 creditsPharmacyUp to 1.5 credits

MOC types

ABS — Accredited CMEUp to 1.5 pointsABOS — Accredited CMEUp to 1.5 pointsABA — Lifelong LearningUp to 1.5 pointsABTS — Accredited CMEUp to 1.5 pointsABS — Self-AssessmentUp to 1.5 pointsABP — Lifelong Learning and Self-AssessmentUp to 1.5 pointsABTS — Self-AssessmentUp to 1.5 points

FDA REMS

No

Qualifies for MIPS

No

Target Specialties

Cross-Specialty

Relevant across 6 specialties.

Pricing

Fee varies

This provider typically $49–98

See fees on statpearls.com

Listed by the provider

  • Article / monograph / reference
  • includes Online course / module
  • Credit · Up to 1.5 credits
  • MOC · Up to 1.5 points
  • Fee varies · this provider typically $49–98
  • Released
    Sep 1, 2026
  • Last day to claim credit
    Sep 1, 2029 3 years left

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