THE RESULTS OF DIGITAL BLOCK USING SINGLE INJECTION OF LOCAL ANESTHETIC AGENT INTO THE FLEXOR TENDON SHEATH AT THE AREA OF META-CARPOPHALYNGEAL JOINT

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EMAMI SEYED ALI; ESPANDAR R.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2006 | Volume:28 | Issue:53 Page(s): 42-49

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Title

THE RESULTS OF DIGITAL BLOCK USING SINGLE INJECTION OF LOCAL ANESTHETIC AGENT INTO THE FLEXOR TENDON SHEATH AT THE AREA OF META-CARPOPHALYNGEAL JOINT

Author(s)

EMAMI SEYED ALI | ESPANDAR R. | Issue Writer Certificate

Keywords

DIGITAL BLOCKQ4

FLEXOR TENDON SHEATHQ3

A1 PULLEYQ3

LOCAL ANESTHETICQ3

Abstract

Background: DIGITAL BLOCK is an effective and common method for inducing anesthesia at the digits in order to perform surgery either after trauma or for elective surgical interventions. in traditional methods for DIGITAL BLOCK including circumferential and bilateral infiltration of LOCAL ANESTHETICs around the digit. The risk of injury to digital nerves may be increased and the patient feels more pain due to multiple injections. In the present study we report the results of a new method for DIGITAL BLOCK using a single injection of LOCAL ANESTHETIC agent into the FLEXOR TENDON SHEATH at volar aspect (A1 pulley area). Materials and Methods: We injected a combination of 1.5 ml of 2% lidocaine and 1 ml of 0.5% bupivacain using a 27 G insuline needle into the FLEXOR TENDON SHEATH of the digit in the area of A1 PULLEY. From September 2004 to March 2005 25 patients with ASA I and 11were included in our study. After receiving inform consent, the questionnaire was completed including demographic data, the reason for operation, the type and site of operation, patient and finally surgeons satisfaction from anesthesia during the procedure.Results: Patients had perfect analgesia during surgical procedure (they reported 92% good and 8% fair analgesia during surgical procedure). Surgeons' satisfaction were excellent (96% good and only 4% fair). All of the procedures were performed with the same method and there was no need for using another method of regional anesthesia or general anesthesia due to pain or failure of the block. Conclusion: We prefere this method of DIGITAL BLOCK to traditional method, in which more than one injection is needed. Our method is less painful and the risk of damage to the digital nerve is less.

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APA: Copy

EMAMI, SEYED ALI, & ESPANDAR, R.. (2006). THE RESULTS OF DIGITAL BLOCK USING SINGLE INJECTION OF LOCAL ANESTHETIC AGENT INTO THE FLEXOR TENDON SHEATH AT THE AREA OF META-CARPOPHALYNGEAL JOINT. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 28(53), 42-49. SID. https://sid.ir/paper/63368/en

Vancouver: Copy

EMAMI SEYED ALI, ESPANDAR R.. THE RESULTS OF DIGITAL BLOCK USING SINGLE INJECTION OF LOCAL ANESTHETIC AGENT INTO THE FLEXOR TENDON SHEATH AT THE AREA OF META-CARPOPHALYNGEAL JOINT. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2006;28(53):42-49. Available from: https://sid.ir/paper/63368/en

IEEE: Copy

SEYED ALI EMAMI, and R. ESPANDAR, “THE RESULTS OF DIGITAL BLOCK USING SINGLE INJECTION OF LOCAL ANESTHETIC AGENT INTO THE FLEXOR TENDON SHEATH AT THE AREA OF META-CARPOPHALYNGEAL JOINT,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 28, no. 53, pp. 42–49, 2006, [Online]. Available: https://sid.ir/paper/63368/en

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