Document Detail


Results of intravenous regional anaesthesia with distal forearm application.
MedLine Citation:
PMID:  15587026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate the clinical effectiveness of distal forearm intravenous regional anaesthesia (IVRA) with the tourniquet applied 3 cm above the wrist. One hundred and twenty patients undergoing out-patient hand surgery were operated for 13 different hand problems under distal forearm IVRA, using 10 ml of a solution containing 1.5 mg/kg prilocaine. Sensory block onset time was 4.5 minutes (3.5-6.5 min.). Mean tourniquet time was 17.6 minutes (range, 7-27.5 min). Mean tourniquet pressure was 240 mmHg (range, 220-270 mm Hg). The mean VAS score for tourniquet pain was 3.8 (range, 2-10). No local or systemic side effects related to the IVRA were observed. The study showed that distal forearm IVRA using 10 ml of a solution containing 1.5 mg/kg prilocaine provides safe, rapid and effective anaesthesia for patients undergoing outpatient hand surgery.
Authors:
Nazim Karalezli; Kubilay Karalezli; Serkan Iltar; Oğuzhan Cimen; Nevres Aydoğan
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  70     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-12-10     Completed Date:  2005-01-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  IM    
Affiliation:
Ankara Training and Research Hospital, Ankara, Turkey. nkaralezli@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Ambulatory Surgical Procedures / methods
Anesthesia, Intravenous
Anesthesia, Local / methods*
Anesthetics, Local / therapeutic use*
Female
Hand / physiopathology,  surgery*
Humans
Male
Middle Aged
Orthopedic Procedures / methods
Pain, Postoperative
Prilocaine / therapeutic use*
Prospective Studies
Risk Assessment
Sensitivity and Specificity
Tourniquets*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 721-50-6/Prilocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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