scholarly journals Magnesium Sulfate versus Tramadol as Adjuvants to Lidocaine in Intravenous Regional Anesthesia for Carpal Tunnel Release Surgery: A Randomized Clinical Study

2021 ◽  
Vol 3 (3) ◽  
pp. 1708-1713
Author(s):  
Khaled Elsheshtawy ◽  
Ahmed Elsawy ◽  
Ahmed Abouelnasr Khalifa
2011 ◽  
Vol 114 (1) ◽  
pp. 240-244 ◽  
Author(s):  
Abdullah Nabhan ◽  
Wolf-Ingo Steudel ◽  
Lutfi Dedeman ◽  
Jehad Al-Khayat ◽  
Basem Ishak

Object This study compares the effectiveness of subcutaneous infiltration of a local anesthetic agent (LA) versus intravenous regional anesthesia (IVRA) during endoscopic carpal tunnel release. Methods Forty-four patients suffering from severe symptoms restricting normal daily activities—such as persistent loss of feeling in the fingers or hand, or no strength in the thumb in spite of prolonged nonsurgical treatment—and with electromyographically proven carpal tunnel syndrome were enrolled in this study. All underwent endoscopic carpal tunnel release. Twenty-two patients had an endoscopic release of the median nerve under LA (LA Group). The other 22 patients underwent the surgery after intravenous induction of regional anesthesia (IVRA Group). The operating room in-out time and tourniquet time were evaluated in both groups. The patients were also asked to evaluate the pain associated with the tourniquet during surgery using a visual analog scale. The Michigan Hand Outcomes Questionnaire was used to assess the functional outcome preoperatively and at both 2 weeks and 6 months postoperatively. Results One patient in the LA Group needed an additional application of prilocaine, whereas 3 patients in the IVRA Group needed additional LA and 1 of these required propofol. The tourniquet time and operating room time were significantly lower in the LA Group (p = 0.01 for both). There were no complications related to the endoscopic surgery. The Michigan Hand Outcomes Questionnaire did not show significant differences between the groups at either postoperative follow-up examination. Conclusions Endoscopic carpal tunnel release with subcutaneous infiltration of LA was well tolerated and effective. Injection-associated problems such as increased thickness of the synovial layer or impaired endoscopic view did not occur.


2021 ◽  
Vol 46 (9) ◽  
pp. 748-757
Author(s):  
Miguel C. Jansen ◽  
Mark J.W. van der Oest ◽  
Nicoline P. de Haas ◽  
Ruud W. Selles, PhD ◽  
J. Michiel Zuidam, MD, PhD ◽  
...  

2017 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Ali Sahmeddini ◽  
Mohammad Bagher Khosravi ◽  
Masoome Seyedi ◽  
Zahra Hematfar ◽  
Sedighe Abbasi ◽  
...  

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