PMID: 25775741Mar 18, 2015Paper

Wide awake technique versus local anesthesia with tourniquet application for minor orthopedic hand surgery: a prospective clinical trial

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Sompob RuxasagulwongKanit Sananpanich

Abstract

Most minor hand operations can be performed with local anesthesia and tourniquet. Some literature supports this concept based on the believe that the "patient can tolerate it". Nowadays, the wide-awake technique with epinephrine- contained lidocaine is safe. This technique does not need a tourniquet because epinephrine provides local vasoconstriction. The present study was designed to compare patients' comfort and effectiveness of local anesthesia as well as bleeding at the surgical site between wide-awake anesthesia and local lidocaine with tourniquet application. Prospective Clinical Trial was performed in 60 patients who received outpatient surgery for common hand problems at Maharaj Nakorn Chiang Mai Hospital. With randomization, 30 patients were in wide-awake group, who received adrenaline-contained lidocaine as a local anesthetic agent, with tourniquet wrapping but with no pressure applied (group 1). The other 30 patients were in the conventional group that received lidocaine (no adrenaline) and a 250-mmHg tourniquet application (group 2). Operations were performed with standard methods. Visual analog scores, surgical field bleeding, amount of bleeding, any complications within 4 weeks were recorded. There are no signific...Continue Reading

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Athavudh DeesomchokSumitra Thongprasert
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Wanarak WatcharasaksilpTanat Vaniyapong
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Bunyarit Sukrat, S Sirichotiyakul
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Thanate JatavanTheera Tongsong
© 2021 Meta ULC. All rights reserved