Improvement in i.v. regional anaesthesia by re-exsanguination before surgery.

Abstract:

:A modification of an i.v. regional anaesthesia (IVRA) technique is described in which the arm is re-exsanguinated before surgery (re-IVRA). IVRA and re-IVRA were compared for quality of operative field, sensory and motor block, quality of analgesia and blood concentrations of prilocaine, lignocaine and mepivacaine in a double-blind study in 120 patients undergoing hand surgery. Re-IVRA provided a significantly better surgical field without affecting sensory or motor block. Re-exsanguination improved tolerance of the tourniquet. Plasma concentrations in the re-IVRA group showed some increases, but these were not in the toxic range.

journal_name

Br J Anaesth

authors

Rawal N,Hallén J,Amilon A,Hellstrand P

doi

10.1093/bja/70.3.280

subject

Has Abstract

pub_date

1993-03-01 00:00:00

pages

280-5

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)44805-7

journal_volume

70

pub_type

临床试验,杂志文章,随机对照试验
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