Reducing the pain associated with local anaesthetic infiltration for open carpal tunnel decompression

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
I C VossinakisL S Badras

Abstract

This prospective, randomized study assessed the effectiveness of buffering lidocaine with sodium bicarbonate for reducing the pain associated with local anaesthetic infiltration for open carpal tunnel decompression. Twenty-one patients undergoing bilateral open carpal tunnel decompression received, in a randomized manner, lidocaine 1% with adrenaline (1:200,000) in one hand and the same local anaesthetic buffered with 8.4% NaHCO3 at a 5:1 ratio in the other hand. Pain, especially its burning element, was evaluated on a visual analogue scale and was significantly reduced with the buffered solution. The buffering was effective for all patients and no adverse effects were noted. This is a safe, easy and quick method for making open carpal tunnel surgery less uncomfortable to patients.

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Citations

Sep 6, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A C Watts, J McEachan
Oct 19, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S PatilJ Stothard
Mar 14, 2009·Regional Anesthesia and Pain Medicine·Marie N HannaChristopher L Wu
Mar 3, 2010·Indian Journal of Ophthalmology·Venkatakrishnan JaichandranBhanulakshmi InderMohan
Jun 7, 2013·Oral and Maxillofacial Surgery·Savina GuptaAbhinav Vijay Hire
Apr 10, 2013·The Journal of Hand Surgery·Hyuk Jin LeeGoo Hyun Baek
Jul 30, 2015·Clinical Nuclear Medicine·Mickaila J JohnstonTracy L Yarbrough
Feb 19, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Z H ChanA McDonald
Nov 26, 2015·Journal of Plastic Surgery and Hand Surgery·Kathrine J WågøVilhjalmur Finsen
May 21, 2015·Journal of Plastic Surgery and Hand Surgery·Trine I SkarsvågVilhjalmur Finsen
Dec 3, 2010·Plastic and Reconstructive Surgery·Jaimie T Shores, W P Andrew Lee
May 23, 2015·The Cochrane Database of Systematic Reviews·M Soledad CepedaRoman Schumann
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Sarah Al Youha, Donald H Lalonde
Jan 23, 2016·The Cochrane Database of Systematic Reviews·Judith TannerMathew Fortnam
May 12, 2017·Evidence-based Complementary and Alternative Medicine : ECAM·Giuseppe Tringali, Pierluigi Navarra
Apr 20, 2021·Journal of Hand and Microsurgery·Nikolaos KaramanisZoe H Dailiana

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