Forefoot surgery with ankle tourniquet: Complete or selective ankle block?

Delgado-Martínez, A.D.; Marchal, J. M.; M, Molina Boix; Palma, Alessandra Di

doi:10.1053/rapm.2001.21745

Cited by 22 publications

(17 citation statements)

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“…VAS values (scale 0-10) were rated a mean of 0.4, and only three cases required supplemental anaesthesia during the procedure. Those findings are similar to those found at the ankle [1,2]. One study [2] compared a complete versus a selective ankle blockade with an ankle tourniquet, and it was found that tourniquet tolerance and pain was much better when all the nerves were blocked.…”

Section: Discussionsupporting

confidence: 71%

“…Those findings are similar to those found at the ankle [1,2]. One study [2] compared a complete versus a selective ankle blockade with an ankle tourniquet, and it was found that tourniquet tolerance and pain was much better when all the nerves were blocked. We used this technique, blocking all nerves that innervate the hand, in order to get the lowest possible pain due to both direct tourniquet pressure and tourniquetinduced ischemia.…”

Section: Discussionsupporting

confidence: 71%

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Distal forearm tourniquet for hand surgery

Delgado-Martínez

Marchal

Blanco

et al. 2004

International Orthopaedics (SICOT)

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To evaluate the usefulness of the tourniquet placed at the distal forearm, 30 patients were operated with the tourniquet set at the distal forearm using nerve-block anaesthesia. Pain during surgery, flexion of the fingers, bloodless field, and general complications during surgery and 18 months thereafter were recorded. The mean time of ischemia was 19.6±7.5 (10-50) min. A bloodless field was achieved in all cases, and pain during operation was low. Flexion of the fingers were found in most cases but was reducible and not annoying for the surgeon. There were no serious complications during surgery or at follow-up. The tourniquet placed at the distal forearm is painless, safe, and useful in hand surgery.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionsupporting

confidence: 71%

Distal forearm tourniquet for hand surgery

Delgado-Martínez

Marchal

Blanco

et al. 2004

International Orthopaedics (SICOT)

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“…In 1 study, 11% of ankle blocks required intraoperative local anesthetic supplementation by the surgeon. 11 Using a retrotibial blind approach, Wassef 12 reported successful blockade of the tibial nerve 30% of the time with a palpable posterior tibial artery pulse and 0% without a palpable pulse. A recent randomized and controlled trial reported an average 17% failure rate for ankle blocks performed for hallux valgus repair.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Improves the Success Rate of a Tibial Nerve Block at the Ankle

Redborg

Antonakakis

Beach

et al. 2009

Regional Anesthesia and Pain Medicine

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“…14,15 Therefore, attempts to selectively block specific nerves based on landmarks alone may result in inconsistent and patchy anesthesia and may contribute to failed blocks. 16 Ultrasound provides an invaluable tool to achieve targeted and highly selective blocks. 5 In our study, US guidance achieved 100% success rate for every nerve targeted within 10 minutes of the injection.…”

Section: Discussionmentioning

confidence: 99%