HEMOSTASIS DURING CARPAL-TUNNEL RELEASE UNDER LOCAL-ANESTHESIA - A CONTROLLED COMPARISON OF A TOURNIQUET AND ADRENALINE INFILTRATION

被引：36

作者：

BRAITHWAITE, BD ^{[1
]}

ROBINSON, GJ ^{[1
]}

BURGE, PD ^{[1
]}

机构：

[1] NUFFIELD ORTHOPAED CTR,OXFORD OX3 7LD,ENGLAND

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 02期

关键词：

D O I：

10.1016/0266-7681(93)90103-M

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A randomized controlled comparison of tourniquet and local adrenaline infiltration for control of bleeding was performed in patients undergoing bilateral carpal tunnel release under local anaesthesia. Visual analogue scores for intra-operative pain were substantially greater for tourniquet (mean score 4.7) than for adrenaline (2.2). Incomplete control of bleeding was responsible for longer operating time and for the surgeons' perception of slightly greater operative difficulty with the use of adrenaline. There were no complications attributable to the use of adrenaline. The use of adrenaline-containing local anaesthesia for carpal tunnel release avoids tourniquet pain and is preferred by patients.

引用

页码：184 / 186

页数：3

共 6 条

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[3] DUPONT C., CIABURRO H., PREVOST Y., CLOUTIER G., Hand surgery under wrist block and local infiltration anesthesia, using an upper arm tourniquet, Plastic and Reconstructive Surgery, 50, 5, pp. 532-533, (1972)
[4] GIBSON M., Outpatient carpal tunnel decompression without tourniquet: a simple local anaesthetic technique, Annals of the Royal College of Surgeons of England, 72, pp. 408-409, (1990)
[5] HUSKISSON E.C., Measurement of pain, Lancet, 2, pp. 1127-1131, (1974)
[6] LICHTMAN D.M., FLORIO R.L., MACK G.R., Carpal tunnel release under local anesthesia: evaluation of the outpatient procedure, Journal of Hand Surgery, 4, 6, pp. 544-546, (1979)

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