1989
DOI: 10.1111/j.1399-6576.1989.tb02919.x
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Intravenous regional analgesia – a new modification

Abstract: A modification of the standard intravenous regional analgesia technique is described whereby excess local anaesthetic solution is removed from the veins of the isolated arm once analgesia has been established. This simple procedure was shown to reduce the incidence of oozing at the site of operation without affecting the quality of analgesia. Measurement of the quantity of local anaesthetic agent removed from the isolated arm 15 min after injection revealed that the amounts removed were small, indicating rapid… Show more

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Cited by 4 publications
(6 citation statements)
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“…It is generally considered safe and reliable. The three main problems with the technique are discomfort and pain caused by the tourniquet cuff, oozing at the site of surgery and risk of local anaesthetic toxicity from cuff failure [2]. Oozing is an infrequent but irritating problem for surgeons.…”
Section: Discussionmentioning
confidence: 99%
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“…It is generally considered safe and reliable. The three main problems with the technique are discomfort and pain caused by the tourniquet cuff, oozing at the site of surgery and risk of local anaesthetic toxicity from cuff failure [2]. Oozing is an infrequent but irritating problem for surgeons.…”
Section: Discussionmentioning
confidence: 99%
“…Leakage under the cuff may be prevented by thorough exsanguination, optimal tourniquet pressure and slow injection of local anaesthetic solution (at least 90 s) [6][7][8]. However, oozing may occur in spite of a meticulous technique [2,3,9]. An important factor appears to be the inevitable engorgement caused by the large volume of local anaesthetic solutions injected (40-50 ml), combined with continued blood flow through the non-compressible intramedullary vessels [1,2,10].…”
Section: Discussionmentioning
confidence: 99%
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