A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

HAGHIGHI MOHAMMAD; MARDANI KIVI MOHSEN; MIRBOLOOK AHMADREZA; GHAZANFAR TEHRAN SAMANEH; ASHOORI SAHELI NASIM; HASHEMI MOTLAGH KEYVAN; Sahbe Ekhtiari Khashayar

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2018 | Volume:6 | Issue:1 Page(s): 63-70

Download Full-Text

View:

172

Download:

Cites:

Information Journal Paper

Title

A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia

Author(s)

Keywords

Bier block

Opioid consumption

Orthopedic surgery

Regional anesthesia

Tourniquet pain

Abstract

Background: Several studies have put an effort to minimize the Tourniquet pain and complications after conventional double tourniquet intravenous Regional anesthesia (IVRA). We expressed in our hypothesis that an upper arm single wide 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 randomized into two groups. IVRA was administered using lidocaine in both groups. Tourniquet pain was recorded based on visual analogue scale (VAS). In case of pain (VAS>3) in the DT group, the proximal tourniquet was replaced with a distal tourniquet while fentanyl 50μ g was injected in the ST group. The onset time of Tourniquet pain, time to reach to maximum Tourniquet 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 to reach to maximum Tourniquet pain (VAS>3) in DT and ST groups were 25 and 40 minutes, respectively; indicating that the patients in ST group reached to pain level at a significantly later time (P<0. 0001). The total Opioid consumption in the DT group (61 μ g) was significantly lower than the ST group (102 μ g) (P<0. 0001); however, both groups were similar regarding fentanyl consumption before 40 minutes of surgeries. Conclusion: It seems that in upper limb orthopedic surgeries with less than 40-minute duration, a single tourniquet may serve as a proper alternative opposed to the conventional double tourniquet technique.

Cites

No record.

References

A survey on transfusion status in orthopedic surgery at a trauma center

Cite

APA: Copy

HAGHIGHI, MOHAMMAD, MARDANI KIVI, MOHSEN, MIRBOLOOK, AHMADREZA, GHAZANFAR TEHRAN, SAMANEH, ASHOORI SAHELI, NASIM, HASHEMI MOTLAGH, KEYVAN, & Sahbe Ekhtiari, Khashayar. (2018). A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia. THE ARCHIVES OF BONE AND JOINT SURGERY, 6(1), 63-70. SID. https://sid.ir/paper/350098/en

Vancouver: Copy

HAGHIGHI MOHAMMAD, MARDANI KIVI MOHSEN, MIRBOLOOK AHMADREZA, GHAZANFAR TEHRAN SAMANEH, ASHOORI SAHELI NASIM, HASHEMI MOTLAGH KEYVAN, Sahbe Ekhtiari Khashayar. A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2018;6(1):63-70. Available from: https://sid.ir/paper/350098/en

IEEE: Copy

MOHAMMAD HAGHIGHI, MOHSEN MARDANI KIVI, AHMADREZA MIRBOLOOK, SAMANEH GHAZANFAR TEHRAN, NASIM ASHOORI SAHELI, KEYVAN HASHEMI MOTLAGH, and Khashayar Sahbe Ekhtiari, “A Comparison between Single and Double Tourniquet Technique in Distal Upper Limb Orthopedic Surgeries with Intravenous Regional Anesthesia,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 6, no. 1, pp. 63–70, 2018, [Online]. Available: https://sid.ir/paper/350098/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops