Evaluation of Virtual Reality Combining music and a hypnosis session to reduce anxiety before hand surgery under axillary plexus block: a prospective study

Author(s):  
Nassim Touil ◽  
Athanasia Pavlopoulou ◽  
Mona Momeni ◽  
Benoît Van Pee ◽  
Olivier Barbier ◽  
...  
2019 ◽  
Vol Volume 10 ◽  
pp. 627-634 ◽  
Author(s):  
Andreas Pierre Hvolbek ◽  
Philip Mørkeberg Nilsson ◽  
Francesco Sanguedolce ◽  
Lars Lund

2000 ◽  
Vol 25 (6) ◽  
pp. 575-577 ◽  
Author(s):  
C. H. J. THAM ◽  
B. H. LIM

A prospective study was conducted to assess a modification to Bier’s intravenous regional anaesthesia which introduced a third temporary distal forearm tourniquet. This confines the injected lignocaine to the hand, resulting in a higher local lignocaine concentration. Subsequent exsanguination of the limb then channels the remaining intravascular lignocaine under the distal cuff of a double tourniquet. Of the 18 patients, none experienced pain during operation and all tolerated the tourniquet without significant discomfort. Mild postoperative giddiness was noted in one patient. No other anaesthetic complications were encountered. In a subjective assessment of the bloodlessness of the operating field, two were ranked satisfactory, ten good and six excellent. None of the patients required re-exsanguination when using this technique.


2012 ◽  
Vol 89 (2) ◽  
pp. 185-190 ◽  
Author(s):  
A.G. Papatsoris ◽  
T. Shaikh ◽  
D. Patel ◽  
A. Bourdoumis ◽  
C. Bach ◽  
...  

2013 ◽  
Vol 5 (3) ◽  
pp. 183-187
Author(s):  
Sherif M. Isaac ◽  
Joseph J. Dias ◽  
Nick Taub ◽  
Atul Gaur ◽  
Michael Jones

2010 ◽  
Vol 18 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Li Yang ◽  
Thomas B. Morland ◽  
Kristen Schmits ◽  
Elizabeth Rawson ◽  
Poojitha Narasimhan ◽  
...  

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 109-113 ◽  
Author(s):  
Ian Edmunds ◽  
Zorik Avakian

The management of anticoagulated patients requiring surgery presents a challenge to hand surgeons. The risk of bleeding related complications needs to be weighed up against the increased risk of thrombotic events if anticoagulants are altered or ceased. There is literature reporting the safety of hand, skin, eye and dental surgery on patients taking anticoagulants, and there is literature highlighting the risks associated with altering regular anticoagulant medication. However, it is common practice to cease or alter patients' anticoagulants peri-operatively for hand surgery. We report a prospective study of 107 patients taking anticoagulants who underwent 121 hand operations from December 2005 to August 2009. There was only one significant complication, that being a haematoma which occurred in a patient taking clopidogrel. We conclude that interruption to therapy with warfarin (provided the INR is not greater than 3.0), clopidogrel or clopidogrel with aspirin is unnecessary for patients undergoing hand surgery.


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