Single sterile silicon ring technique for utilization of upper limb intravenous regional anesthesia: A prospective study of patients with operated distal radius fractures.

Abstract

INTRODUCTION:

Intravenous regional anesthesia is a well-established method of anesthesia in upper extremity surgery. In this study, we present a modification of the technique using a silicon ring tourniquet in 30 patients undergoing internal fixation for distal radius fractures.

METHODS:

A sterile silicone ring wrapped within a stockinette sleeve was applied, and a local anesthetic solution (3 mg/kg lidocaine 0,5%) was injected intravenously. After anesthesia onset, the ring was rolled distally to provide immediate pain and discomfort relief.

RESULTS:

The silicone ring achieved adequate exsanguination in all patients. Mean pain VAS score was 2.7 ± 0.9 intraoperatively and 4.3 ± 1.3 during the first hour postoperatively. The onset and termination times of sensory block were 5.8 ± 2.1 and 102 ± 7.8 min, and of motor block 13.8 ± 2.8 and 54.2 ± 4.6 min, accordingly. All patients were satisfied from the procedure.

CONCLUSION:

Sterile silicone ring tourniquet application is a simple, safe and effective analgesic and anesthetic technique for the operative treatment of distal radius fractures.

• Authors: Dimitrios Kitridis, Byron Chalidis, Irene Asouhidou, Eleni Koraki, Panagiotis Givissis
• Journal: Injury (Injury) Vol. 52 Issue 12 Pg. 3611-3615 (Dec 2021) ISSN: 1879-0267 [Electronic] Netherlands
• PMID: 34420690 (Publication Type: Journal Article)
• Copyright: Copyright © 2021. Published by Elsevier Ltd.

Chemical References

• Anesthetics, Local
• Silicon

Topics

• Anesthesia, Conduction
• Anesthetics, Local
• Humans
• Prospective Studies
• Radius Fractures (surgery)
• Silicon
• Tourniquets
• Upper Extremity (surgery)