Comparing Two Injection Sites of Local Anesthetic for Hand Surgery

Inclusion Criteria: * Patients ≥ 18 years of age undergoing unilateral hand, wrist, or finger surgery * Ability to understand and provide informed consent * American Society of Anesthesiologists (ASA) status I-III Exclusion Criteria: * Patient refusal or inability to provide informed consent * True allergy, not sensitivity, to any of the following substances: Local Anesthetics, Midazolam, Fentanyl, Hydromorphone, Propofol * Pregnancy * Severe hepatic impairment * Evidence of infection at or near the proposed needle insertion site * Any sensorimotor deficit of the ipsilateral upper extremity, whether acute or chronic, as determined by the PI and designee * Pulmonary disease of any kind that is uncontrolled or severe in nature * Chronic pain patients, defined as someone diagnosed with chronic pain or a chronic pain condition, under the care of a chronic pain physician, or taking oral/intravenous narcotics consistently for 30 days prior to surgery