In addition, the Bier block should not be used in procedures which require monitoring of pulses in the distal extremity, such as a supracondylar fracture reduction.
There have been no reported cases of mortality resulting from the Bier block procedure.
Whistler Health Care Center (2005-2006, Mohr (4)): a retrospective study involving 1,804 patients who received Bier block anesthesia for wrist, hand, and forearm injuries.
Emergency Department Treatment of Childern's Extremity Fractures: Blasier and White (5) detail a 1996 study of 470 children who underwent fracture reduction using the Bier block method from 1989 through 1994.
The following are 8 steps to simplify Bier block administration: