Haemostasis in Open Carpal Tunnel Release: Tourniquet Vs Local Anaesthetic and Adrenaline

Overview

Journal Open Orthop J

Publisher Bentham Open

Specialty Orthopedics

Date 2011 Jan 21

PMID 21249165

Citations 14

Authors

Peter Ralte

David Selvan

Syam Morapudi

Gunasekaran Kumar

Mohammad Waseem

Affiliations

Soon will be listed here.

Abstract

Open carpal tunnel release is one of the commonest performed procedures in hand surgery. We performed a prospective randomised control trial to compare the efficacy and patient satisfaction of the traditional arm tourniquet versus infiltration of adrenaline and local anaesthetic solution to achieve haemostasis during the procedure. Using a combination of objective and subjective measures we concluded that infiltration of local anaesthetic and adrenaline not only provided adequate haemostasis but also provided a significantly more tolerable experience for the patient during the procedure.

Citing Articles

Possible Bupivacaine Induced Hepatitis Following Wide Awake, Local Anesthesia, No Tourniquet Carpal Tunnel Surgery: A Case Report.

Flood M, Tananbaum R, Tantillo T, Jones M J Hand Surg Glob Online. 2024; 6(6):931-933.

PMID: 39703596 PMC: 11652288. DOI: 10.1016/j.jhsg.2024.08.010.

A Prospective Study Comparing Wide-Awake Local Anesthesia No Tourniquet Versus General Anesthesia in Hand Fracture Fixation.

Abdullah S, Ghazali K, Soh E, Sapuan J, Gill P, Lim C J Hand Surg Glob Online. 2024; 6(6):814-817.

PMID: 39703592 PMC: 11652311. DOI: 10.1016/j.jhsg.2024.06.008.

Management of Scaphoid Pseudoarthrosis Surgery with Wide-Awake Local Anesthesia No Tourniquet (WALANT) Versus Axillary Block Anesthesia: Comparison of Patient Satisfaction.

Altas O, Bayram S, Aydin A, Ayik O, Durmaz H Plast Surg (Oakv). 2024; 32(4):638-645.

PMID: 39430263 PMC: 11489990. DOI: 10.1177/22925503231157092.

Safety and efficacy of a modified WALANT technique using undiluted adrenaline during open surgical carpal tunnel release: a prospective report of 308 procedures.

Kotb M, Omar U, Khalifa A J Orthop Surg Res. 2023; 18(1):875.

PMID: 37978533 PMC: 10656897. DOI: 10.1186/s13018-023-04369-1.

The effect of different doses of vitamin D on the prognosis of patients undergoing carpal tunnel syndrome surgery.

Noorizadeh K, Mohammadi S, Seifi M, Moradi M, Sadoni H J Family Med Prim Care. 2023; 11(11):6837-6842.

PMID: 36993071 PMC: 10041256. DOI: 10.4103/jfmpc.jfmpc_252_22.

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