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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۱، صفحات ۶۳-۷۰
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عنوان انگلیسی A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia
چکیده انگلیسی مقاله 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 this randomized controlled trial, 80 patients undergoing upper limb orthopedic surgeries were randomizedinto two groups. IVRA was administered using lidocaine in both groups. Tourniquet pain was recorded based on visualanalogue scale (VAS). In case of pain (VAS>3) in the DT group, the proximal tourniquet was replaced with a distaltourniquet while fentanyl 50μg was injected in the ST group. The onset time of tourniquet pain, time to reach to maximumtourniquet pain and the amount of fentanyl consumption were compared between the two groups.Results: No significant difference was seen in demographic characteristics. The onset time of tourniquet pain (VAS=1)in the ST group (26.9±13.2 min) was longer than that of the DT group (13.8±4.8 min) (P< 0.0001). The median of time toreach to maximum tourniquet pain (VAS>3) in DT and ST groups were 25 and 40 minutes, respectively; indicating thatthe patients in ST group reached to pain level at a significantly later time (P< 0.0001). The total opioid consumption inthe DT group (61μg) was significantly lower than the ST group (102μg) (P< 0.0001); however, both groups were similarregarding fentanyl consumption before 40 minutes of surgeries.Conclusion: It seems that in upper limb orthopedic surgeries with less than 40-minute duration, a single tourniquetmay serve as a proper alternative opposed to the conventional double tourniquet technique.
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نویسندگان مقاله محمد حقیقی | mohammad haghighi
anesthesiology research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

محسن مردانی کیوی | mohsen mardani kivi
orthopedic department, guilan road trauma research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

احمدرضا میربلوک | ahmadreza mirbolook
orthopedic research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

سمانه غضنفر طهران | samaneh ghazanfar tehran
anesthesiology research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

نسیم عاشوری ساحلی | nasim ashouri saheli
anesthesiology department, anesthesiology research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

کیوان هاشمی مطلق | keyvan hashemi motlagh
guilan road trauma research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

خشایار صاحب اختیاری | khashayar saheb ekhtiari
guilan road trauma research center, guilan university of medical sciences, rasht, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

نشانی اینترنتی http://abjs.mums.ac.ir/article_10076.html
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