• Acta Orthop Belg · Oct 2004

    Comparative Study

    Results of intravenous regional anaesthesia with distal forearm application.

    • Nazim Karalezli, Kubilay Karalezli, Serkan Iltar, Oğuzhan Cimen, and Nevres Aydoğan.
    • Ankara Training and Research Hospital, Ankara, Turkey. nkaralezli@yahoo.com
    • Acta Orthop Belg. 2004 Oct 1;70(5):401-5.

    AbstractThe 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.

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