title: Results of intravenous regional anaesthesia with distal forearm application.
abstract: 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.affiliation: Ankara Training and Research Hospital, Ankara, Turkey. nkaralezli@yahoo.com
authors.forename: Nazim
authors.initials: N
authors.lastname: Karalezli
authors.forename: Kubilay
authors.initials: K
authors.lastname: Karalezli
authors.forename: Serkan
authors.initials: S
authors.lastname: Iltar
authors.forename: Oğuzhan
authors.initials: O
authors.lastname: Cimen
authors.forename: Nevres
authors.initials: N
authors.lastname: Aydoğan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods; D000771:Anesthesia, Intravenous; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000627:therapeutic use*; D005260:Female; D006225:Hand / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D010149:Postoperative Pain; D011318:Prilocaine / Q000627:therapeutic use*; D011446:Prospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014111:Tourniquets; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local; D011318:Prilocaine