Intra-Arterial Regional Analgesia of the Hand

Koscielniak-Nielsen, Zbigniew J.; Stens-Pedersen, H. L.

doi:10.1093/bja/66.6.719

British Journal of Anaesthesia

1991

DOI: 10.1093/bja/66.6.719

|View full text |Cite

Intra-Arterial Regional Analgesia of the Hand

Zbigniew J. Koscielniak-Nielsen

H. L. Stens-Pedersen

Abstract: SUMMARY

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

1993

2010

Publication Types

Select...

Article5

Relationship

Self Cite0

Independent5

Authors

Journals

Cited by 5 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(3) suggested that good analgesia for hand surgery could be obtained with lower doses of lignocaine than those used for intravenous regional anaesthesia (IVRA). Mter reporting a succesful case (4), we conducted a controlled study comparing IARA with IVRA, using half intravenous dose of lignocaine for intra-arterial injection. This study showed no significant differences between onset, regression and quality of analgesia, failure rate and patients' acceptance (5).…”

mentioning

confidence: 99%

Intra‐arterial regional anaesthesia for hand surgery with alkalinized 0.5% lignocaine

Koscielniak-Nielsen

Stens-Pedersen

Kjaerbo

1995

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Intra-arterial regional anaesthesia (IARA) for hand surgery is an old, forgotten technique. One of the causes of low popularity may be a scalding sensation in the hand during intra-arterial injection of lignocaine, which may be caused by low pH of lignocaine's solution. In this randomized, double-blind study, normal (pH 5.2-5.3) or alkalinized (pH 7.2-7.3) preservative-free 0.5% lignocaine 1.5 mg kg-1 was injected into the radial arteries of forty adult patients to produce anaesthesia for ambulatory hand surgery. Scalding sensation in the hand during intra-arterial injection (VAS) was less pronounced with alkalinized lignocaine (P = 0.04). The time of onset and regression of analgesia was similar in both groups. Four patients in group 1 (normal lignocaine) and six patients in group 2 (alkalinized lignocaine) needed supplemental analgesia at the start of surgery (NS). Cannulation time, operating conditions, motor blockade, surgical-, and tourniquet pain scores (VAS) and patient's acceptance were similar. Three patients (two in group 1 and one in group 2) had minor systemic adverse effects after tourniquet release (NS). Nine patients in group 1 and seven in group 2 developed minor bruises after cannulation (NS). No other sequelae of intra-arterial injections were observed. We conclude that alkalinized 0.5% lignocaine was less painful on injection than normal lignocaine and should be preferred for intra-arterial anaesthesia for hand surgery.

show abstract

mentioning

confidence: 99%

Intra‐arterial regional anaesthesia for hand surgery with alkalinized 0.5% lignocaine

Koscielniak-Nielsen

Stens-Pedersen

Kjaerbo

1995

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

Intra-arterial regional anesthesia: a Spanish contribution

Márquez-Espinós

Pérez

Aragón

et al. 2002

International Congress Series

View full text Add to dashboard Cite

Intra‐arterial versus intravenous regional analgesia for hand surgery

Koscielniak-Nielsen

Horn

1993

Anaesthesia

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Intra-Arterial Regional Analgesia of the Hand

Abstract: SUMMARY

Cited by 5 publications

References 0 publications

Intra‐arterial regional anaesthesia for hand surgery with alkalinized 0.5% lignocaine

Intra‐arterial regional anaesthesia for hand surgery with alkalinized 0.5% lignocaine

Intra-arterial regional anesthesia: a Spanish contribution

Intra‐arterial versus intravenous regional analgesia for hand surgery

Contact Info

Product

Resources

About