conclusions this study showed that a pneumatic arm tourniquet as an adjunct to ivra provides acceptable analgesia following the deflation of the double- cuff tourniquet for relieving surgical pain. results the mean operation time after the deflation of the double-cuff tourniquet was 20.12 ± 6.1 minutes. moreover, the mean nrs for the post-deflation time was insignificant (nrs = 2), and only one...

Background: Several studies have put an effort to minimize the tourniquet pain and complications after conventionaldouble tourniquet intravenous regional anesthesia (IVRA). We expressed in our hypothesis that an upper arm singlewide tourniquet (ST) may serve a better clinical efficacy rather than the conventional upper arm double tourniquet (DT)in distal upper extremity surgeries.Methods: In th...

conclusions the study indicated advantages of this modified bier's block compared to the traditional one including ability to perform surgery on upper limb bones and considerable pain relief at surgical and tourniquet sites during the operation until one hour thereafter. results this study showed the presence of analgesia at surgical and tourniquet sites during the operation in 96% of patients,...

background: the pneumatic tourniquet (pt) is routinely used in upper and lower limb operations by most orthopaedic surgeons. the silicone ring tourniquet (srt) was introduced in clinical practice the last decade. clinical as well comparative studies in volunteers concerning its safety and efficacy have been published. the aim of this study was to investigate the postoperative effect of the sili...

Ischemic pain threshold and tolerance levels using the tourniquet pain technique and electrical cutaneous pain thresholds were measured in patients with asymptomatic ischemic heart disease. Thirty asymptomatic patients, who repeatedly exhibited no angina pectoris pain during the occurrence of exercise-induced coronary ischemia (greater than or equal to 0.1 mV ST segment depression in exercise E...

Background: Intravenous regional anesthesia is a simple and reliable method for upper extremity surgery. In order to increase the quality of blocks and reduce the amount of pain, many drugs are used with lidocaine. In this study, the effect of ketorolac-lidocaine in intravenous regional anesthesia was investigated. Methods: 40 patients undergoing elective upper limb with America Society of Ane...

BACKGROUND Intravenous Regional Anesthesia (IVRA) is a well-known technique for producing analgesia during surgical procedures in the extremities. However, the rapid onset of pain following the deflation of a double-cuff tourniquet during IVRA is a serious disadvantage, leading patient suffering. OBJECTIVES The aim of this study was to evaluate the clinical effectiveness of a pneumatic arm to...

BACKGROUND This study was done to evaluate the effect on pain relief when acetaminophen was added to lidocaine for intravenous regional anesthesia (IVRA). METHODS SIXTY PATIENTS UNDERGOING HAND OR FOREARM SURGERY RECEIVED IVRA WERE ASSIGNED TO THREE GROUPS: Group C received 0.5% lidocaine diluted with 0.9% normal saline to a total volume of 40 ml (n = 20), Group P received 0.5% lidocaine dilu...

To the Editor:—Recently, Byas-Smith et al. reported that tourniquet constriction expands and exacerbates pain during intradermal injection of capsaicin in humans. The underlying mechanism was unclear. It is suggested herein that excitation of paravascular nociceptors is involved in expansion of pain. Capsaicin has been shown to evoke pain from skin, muscle, and paravascular tissue, but not from...