title: Selective Nerve Block Combined With Tumescent Anesthesia.
abstract: OBJECTIVE
  To evaluate the effect of selective nerve blocks before tumescent anesthesia on the pain and anxiety levels of patients.
  
  
  METHODS
  A prospective study was performed with 80 patients. Forty consecutive patients received tumescent anesthesia, and 40 consecutive patients received selective nerve blocks followed by tumescent anesthesia. Patients filled out a questionnaire regarding their preoperative, intraoperative, and postoperative pain and anxiety levels. The results of the questionnaire were evaluated with an independent samples t test.
  
  
  RESULTS
  The 2 study groups showed similar distribution in age, sex, and diagnosis. No complications related to tumescent anesthesia or nerve blocks were observed. The group that received tumescent anesthesia with selective nerve blocks reported lower pain scores in anesthesia injections than the group that received tumescent anesthesia alone. The intraoperative and postoperative pain and anxiety levels between the groups were not different.
  
  
  CONCLUSIONS
  Tumescent anesthesia combined with selective nerve blocks in hand surgery decreased the pain associated with injections and increased patient satisfaction.
  
  
  METHODS
  Therapeutic I.
authors.affiliation: Plastic, Reconstructive and Aesthetic Surgery Clinic, Yildirim Beyazit University Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Candemir
authors.initials: C
authors.lastname: Ceran
authors.affiliation: Plastic, Reconstructive and Aesthetic Surgery Clinic, Turgutlu State Hospital, Manisa, Turkey. Electronic address: berrak222@hotmail.com.
authors.forename: Berrak
authors.initials: B
authors.lastname: Aksam
authors.affiliation: Plastic, Reconstructive and Aesthetic Surgery Clinic, Akhisar State Hospital, Manisa, Turkey.
authors.forename: Ersin
authors.initials: E
authors.lastname: Aksam
authors.affiliation: Plastic, Reconstructive and Aesthetic Surgery Clinic, Yildirim Beyazit University Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Mustafa Erol
authors.initials: ME
authors.lastname: Demirseren
mesh_terms: D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Anesthesia; hand; nerve; tumescent; wide-awake