A 43 year-old woman was admitted to same-day surgery for surgical decompression of the carpal tunnel of the left wrist.

 The anesthetist decided to perform a Bier block, which allows rapid recovery following be procedure.

case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
case editor: Michael Gordon, Ph.D.