Dekoninck V, et al. - Analgesic efficacy of conventional, upper arm intravenous regional anesthesia (IVRA) was compared with that of a modified, forearm IVRA in adult patients undergoing procedures on the distal upper extremity, by analyzing the existing evidence in a systematic review and meta-analysis. Researchers found that the efficacy of forearm IVRA in providing a surgical block was equal to that of a conventional upper arm IVRA, even with a reduced, non-toxic dosage of local anesthetic. The use of a forearm IVRA did not result in severe complications and rather provided a faster onset of sensory block, better tourniquet tolerance and a dryer surgical field.