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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 2/2008

01-02-2008 | Orthopaedic Surgery

Improved tolerability of open carpal tunnel release under local anaesthetic: a patient satisfaction survey

Authors: John Patrick Dillon, Alan Laing, Mochin Hussain, Andrew Macey

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2008

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Abstract

Carpal tunnel decompression is the most commonly performed procedure in hand surgery. This study was done to assess the effectiveness and acceptability by patients of open carpal tunnel release under local anaesthetic. We compare our results with both the literature and those of our previous study, after which were made alterations to improve the surgical and anaesthetic technique. These alterations included (a) injecting local anaesthetic with a dental syringe and a 27G needle in two stages along the proposed line of the incision and (b) omitting the use of a tourniquet, relying on the local anaesthetic with adrenaline to maintain a bloodless field during the procedure.
Literature
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Avramidis K, Lewis JC, Gallagher P (2000) Reduction in pain associated with open carpal tunnel decompression. J Hand Surg 25B(2):147–149
2.
Braithwaite BD, Robinson GJ, Burge PD (1993) Haemostasis during carpal tunnel release under local anaesthesia- a controlled comparison of a tourniquet and adrenaline infiltration. J Hand Surg 18B:1884–1886
3.
Khan R, Macey AC (2000) Open carpal tunnel release under local anaesthesia: a patient satisfaction survey. Ir Med J 93(1):19PubMed
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Lichtman DM, Florio RL, Mack GR (1979) Carpal tunnel release under local anaesthesia: evaluation of the outpatient procedure. J Hand Surg 4:544–546
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Scarfone RJ, Jasani M, Gracely EJ (1998) Pain of local anaesthetics: rate of administration and buffering. Ann Emerg Med 31:36–40PubMedCrossRef
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Sylaidis P, Logan A (1998) Digital blocks with adrenaline. An old dogma refuted. J Hand Surg 23(1):17–19
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Watts AC, Gaston P, Hooper G (2004) Randomized trial of buffered versus plain lidocaine for local anaesthesia in open carpal tunnel decompression. J Hand Surg 29B(1):30–31
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Yousif NJ, Grunert BK, Forte RA, Matloub HS, Sanger JR (1993) A comparison of upper arm and forearm tourniquet tolerance. J Hand Surg 18B:639–641
Metadata
Title
Improved tolerability of open carpal tunnel release under local anaesthetic: a patient satisfaction survey
Authors
John Patrick Dillon
Alan Laing
Mochin Hussain
Andrew Macey
Publication date
01-02-2008
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 2/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-007-0460-2

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