PMID: 3767016Nov 1, 1986Paper

Addition of glucose to bupivacaine in spinal anesthesia increases incidence of tourniquet pain

Anesthesia and Analgesia
P O BridenbaughH H Edström

Abstract

The effect of baricity of 0.5% bupivacaine on the incidence of tourniquet pain when used for spinal anesthesia was evaluated in 60 patients undergoing orthopedic surgery. Three ml of either hyperbaric (8% glucose) or isobaric (glucose-free) solution was used. A standard 7-cm orthopedic tourniquet was applied at the thigh and was inflated to 300 mm Hg for 2 hr or until the patient experienced pain from the tourniquet. During application time, the levels of sensory block to pin prick were similar in the groups. The incidence of tourniquet pain in the glucose-free group (4/30) was significantly lower than in the hyperbaric group (11/30).

Citations

Oct 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S O'Callaghan-Enright, B T Finucane
Jul 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J E TetzlaffM Walsh
Feb 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J E TetzlaffH J Yoon
Feb 18, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T OkutomiF Goto
Dec 23, 2009·American Journal of Therapeutics·Joy AlleeJoseph D Tobias
Feb 1, 1990·Acta Anaesthesiologica Scandinavica·S AlahuhtaH H Edström
Jan 1, 1991·Acta Anaesthesiologica Scandinavica·M Tuominen
Dec 25, 2003·Anesthesia and Analgesia·Daniel T Warren, Dan J Kopacz
Oct 1, 1996·Anesthesia and Analgesia·B Ben-DavidS Vaida
Feb 1, 1995·Anesthesia and Analgesia·R K Baumgarten

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