Arm versus forearm tourniquet for carpal tunnel decompression – Which is better? A randomized controlled trial

Cousins, Gerard R.; Gill, S.; Tinning, C; Johnson, Simon M; Rickhuss, P.K.

doi:10.1177/1753193414565322

Cited by 15 publications

(12 citation statements)

References 10 publications

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“…19,20 Due to the lack of intraoperative ischemia caused by the arm tourniquet, the procedure can be performed without general or regional anesthesia, allowing it to be performed with only local and truncal anesthesia and thus not requiring an anesthesiologist. 1,21 The anesthetic and surgical procedures performed without sedation were well tolerated by patients, which allowed their execution in the ambulatory surgical center with a minimal hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia

Chang

Beduschi

Pacheco

et al. 2018

Hand (New York, N,Y.)

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Background: The purpose of this study was to evaluate the safety and efficacy of ambulatory open surgical treatment for carpal tunnel syndrome with local anesthesia and without tourniquet ischemia, sedation by an anesthesiologist, or hospitalization. Methods: A retrospective analysis of 60 consecutive cases performed during 1 year was conducted, excluding other compressive or noncompressive neuropathies. The criteria for treatment efficacy were improvements in symptoms and recurrence rates, and the safety criterion was the presence of complications. Results: The mean patient age was 53.39 years, with 91.7% of women and 8.3% of men. The right side was more frequently affected (65% of the cases). The anesthetic and surgical procedures were well tolerated by patients. No complications during the procedures or postsurgical recurrences were observed. Conclusions: Consistent with previous data, the results of this study corroborate that the proposed treatment is effective, safe, and of low cost, resulting in great savings and increased productivity for the public health system.

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Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia

Chang

Beduschi

Pacheco

et al. 2018

Hand (New York, N,Y.)

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“…Open carpal tunnel decompression is one of the most common day case procedures in upper limb surgery and is routinely performed under local anaesthetic without sedation using an arm tourniquet to provide a clear surgical field. Whether carpal tunnel decompression surgery is performed using an arm or a forearm tourniquet has been studied with no difference in outcomes (Cousins et al., 2015). Although tourniquets are generally tolerated well by most wide-awake patients (Baguneid et al., 1997), they can be a source of additional pain during the procedure (Nagpal et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Pain and outcomes of carpal tunnel release under local anaesthetic with or without a tourniquet: a randomized controlled trial

Iqbal

Doorgakant

Rehmatullah

et al. 2018

J Hand Surg Eur Vol

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“…They did not find any statistically significant differences between groups in terms of pain, physiological response, tourniquet duration, bloodless surgical area, and operation time [8]. However, Mauray et al reported that forearm tourniquet is more tolerable for patients while the duration of tourniquet is longer [9].…”

Section: Discussionmentioning

confidence: 93%

“…In patients who received tourniquets, mean time with upperarm tourniquet was found as 9.5 minutes (8-11), and mean time with forearm tourniquet was 10.11 (8)(9)(10)(11)(12) minutes. A bloodless surgical area was successfully obtained with both tourniquet methods (Group 1 and 2).…”

Section: Resultsmentioning

confidence: 99%

Questioning the use of tourniquets in carpal tunnel surgery and determining ideal level

Aldemir¹,

Duygun²

2017

Med-Science

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Our aim was to determine if tourniquet use was a requirement in CTS release surgery, by evaluating patients in which tourniquets were used at different levels and patients in which tourniquets were not used during surgery. A total of 48 patients were included in the study. Eighteen patients had bilateral carpal tunnel syndrome. In these patients, the surgery of one side was performed with a forearm tourniquet, while the other side was performed with the conventional upper arm tourniquet. Thirty patients underwent carpal tunnel release surgery without a tourniquet. The duration of surgery, heart rate, blood pressure, pain status (visual analogue scale) of all patients, and the blood loss of patients who underwent surgery without a tourniquet were recorded. When the tourniquet and no-tourniquet groups were compared, there were no significant differences in terms of pain and physiological response. However, patient satisfaction was higher in the no-tourniquet group while operation times were longer. We believe that the local anesthetic + epinephrine without tourniquet method is advantageous compared to the other methods.

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Arm versus forearm tourniquet for carpal tunnel decompression – Which is better? A randomized controlled trial

Abstract: I. Prospective Randomized Controlled Trial.

Cited by 15 publications

References 10 publications

Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia

Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia

Pain and outcomes of carpal tunnel release under local anaesthetic with or without a tourniquet: a randomized controlled trial

Questioning the use of tourniquets in carpal tunnel surgery and determining ideal level

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