He used an Esmarch bandage to exsanguinate the arm and injected procaine between two tourniquets to rapidly induce anesthetic and analgesic effects in the site.

A high dose of local anesthetic, typically lidocaine or prilocaine without adrenaline,[6] is slowly injected as distally as possible into the exsanguinated limb.

[8] The type of anesthetic agent, improper equipment use or selection, and technical error are prominent factors in most cases of morbidity related to IVRA.

[citation needed] Reports from anesthesiologists and surgeons cite proper selection, inspection, and maintenance of equipment as important safety measures.

[9] Additionally, IVRA protocols should include procedures for regular preventative maintenance of the equipment and performance testing, whether manual or automated, prior to surgery.

Should complications occur, constant physiological monitoring and ready access to resuscitative drugs and equipment facilitates a speedy recuperative response.