STUDY OBJECTIVE To compare the anesthetic effects of two different concentrations and doses of ropivacaine (0.2% and 0.25%) with those of a conventional dose of lidocaine 0.5%. DESIGN Prospective, randomized, double-blinded, clinical investigation. SETTING Large metropolitan university hospital. PATIENTS 66 adult ASA physical status I and II patients undergoing forearm and hand surgery. ...

A 26-year-old nurse presented with a three-day history of sudden onset of pyrexia of 39 °C, malaise, and a patchy maculopapular rash, after returning from a monthlong work in Senegal. A tourniquet was applied to help locate the vein for diagnostic blood sampling. After the procedure, a petechial rash erupted with a demarcation line below the level of the tourniquet. A diagnostic test for dengue...

Background: Ropivacaine for intravenous regional anesthesia (IVRA) provides prolonged analgesia over lidocaine and have a lower toxicity compared with bupivacaine. To reduce the amount of local anesthetic and to improve the quality of the block additives like opioids are used. Aim: The present study was designed to assess the anesthetic efficacy and post-tourniquet analgesia of adding fentanyl ...

Perioperative nurses are likely to encounter the use of pneumatic tourniquets in a variety of operative and invasive extremity procedures. Use of a pneumatic tourniquet offers an opportunity to obtain a near-bloodless surgical field; however, the use of tourniquets is not without risk. Unfavorable outcomes include pain, thrombotic events, nerve compression injuries, and disruption of skin integ...

Methods. Randomly assigned patients awaiting elective surgery received a communication immediately before i.v. cannulation consisting of either ‘I am going to apply the tourniquet and insert the needle in a few moments. It’s a sharp scratch and it may sting a little’ (Group S) or ‘I am going to apply the tourniquet on the arm. As I do this many people find the arm becomes heavy, numb and tingly...

In order to assess the effect of spinal clonidine on tourniquet pain, 30 patients scheduled to undergo orthopaedic surgery under spinal anaesthesia were allocated randomly to two groups. Patients in group I (n = 15) received 0.5% isobaric bupivacaine 15 mg plus isotonic saline 1 ml. Patients in group II (n = 15) received 0.5% bupivacaine 15 mg plus clonidine 1 ml (150 micrograms). Sensory block...

BACKGROUND A microemulsion propofol causes a high incidence of pain during intravenous injection. In this study, we investigated the effect of ramosetron on pain induced by microemulsion propofol injection. METHODS After prospective power analysis and institutional review board approval, a total of 200 ASA I and II patients undergoing general anesthesia were divided into 4 groups. They receiv...

BACKGROUND In our study, we used meta-analysis to study the efficacy of the tourniquet on ankle trauma surgery. Postoperative infection rate, deep venous thrombosis incidence, hospital stay, and joint range of motion were studied to compare the tourniquet and non-tourniquet groups and provide certain references for clinical decision. METHODS We searched PubMed, MEDLINE, EMBASE, and the Cochra...

We hypothesize that an anecdotally observed increase in tourniquet breakage and decrease in efficacy may be secondary to environmental exposure during military deployment. This was a study comparing efficacy and breakage of 166 Afghanistan-exposed tourniquets to 166 unexposed tourniquets. Afghanistan exposure was defined as tourniquet carriage by field staff in the operational environment for a...

introduction: ischaemic-reperfusion nerve injury has been suggested as the mechanism for post-tourniquet limb paralysis. as dexamethasone (dex) has been shown to prevent ischaemic-reperfusion process in some tissues, we tested the hypothesis that this drug would reduce tourniquet induced nerve injury. methods: 36 male wistar rats (200-250 gr) were chosen and divided randomly into 6 equal groups...