488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anesthesiologist

Trajano Sardenberg , Samuel Ribak , Ricardo Colenci , Rafael Barcellos de Campos , Denis Varanda , Andrea Christina Cortopassi
{"title":"488 hand surgeries with local anesthesia with epinephrine, without a tourniquet, without sedation, and without an anesthesiologist","authors":"Trajano Sardenberg ,&nbsp;Samuel Ribak ,&nbsp;Ricardo Colenci ,&nbsp;Rafael Barcellos de Campos ,&nbsp;Denis Varanda ,&nbsp;Andrea Christina Cortopassi","doi":"10.1016/j.rboe.2018.03.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Evaluate the incidence of digital infarction and tissue necrosis using local anesthesia with 1% lidocaine and 1:100,000 epinephrine in wrist, hand, and fingers surgeries, without a tourniquet, without sedation, and without an anesthesiologist.</p></div><div><h3>Methods</h3><p>Patients with wrist, hand, and fingers disorders prospectively underwent surgery under local anesthesia with 1% lidocaine and 1:100,000 epinephrine. The primary outcomes evaluated were the presence of digital infarction and tissue loss due to necrosis. As secondary outcomes, the need for the use of sedatives, tourniquet, anesthesiologist assistance, or surgery suspension were evaluated.</p></div><div><h3>Results</h3><p>Fifty-three wrists, 307 hands, and 128 fingers were anesthetized with lidocaine and epinephrine without any complications related to epinephrine. There was no patient that presented with any of the primary or secondary outcomes.</p></div><div><h3>Conclusions</h3><p>Wrist, hand, and fingers surgeries can be safely performed with local anesthesia with 1% lidocaine and 1:100,000 epinephrine, without sedation, without a tourniquet, and without an anesthesiologist.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 3","pages":"Pages 281-286"},"PeriodicalIF":0.0000,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.03.011","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira de Ortopedia (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2255497118300508","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7

Abstract

Objectives

Evaluate the incidence of digital infarction and tissue necrosis using local anesthesia with 1% lidocaine and 1:100,000 epinephrine in wrist, hand, and fingers surgeries, without a tourniquet, without sedation, and without an anesthesiologist.

Methods

Patients with wrist, hand, and fingers disorders prospectively underwent surgery under local anesthesia with 1% lidocaine and 1:100,000 epinephrine. The primary outcomes evaluated were the presence of digital infarction and tissue loss due to necrosis. As secondary outcomes, the need for the use of sedatives, tourniquet, anesthesiologist assistance, or surgery suspension were evaluated.

Results

Fifty-three wrists, 307 hands, and 128 fingers were anesthetized with lidocaine and epinephrine without any complications related to epinephrine. There was no patient that presented with any of the primary or secondary outcomes.

Conclusions

Wrist, hand, and fingers surgeries can be safely performed with local anesthesia with 1% lidocaine and 1:100,000 epinephrine, without sedation, without a tourniquet, and without an anesthesiologist.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
488例手部手术采用肾上腺素局部麻醉,不使用止血带,不使用镇定剂,也没有麻醉师
目的评价1%利多卡因加1:10万肾上腺素局麻在腕、手、指手术中不使用止血带、不使用镇静、不使用麻醉师的情况下发生指梗死和组织坏死的发生率。方法在1%利多卡因加1:10万肾上腺素局麻下,腕、手、手指病变患者行前瞻性手术治疗。评估的主要结果是指梗死的存在和因坏死引起的组织损失。作为次要结果,评估了是否需要使用镇静剂、止血带、麻醉师协助或暂停手术。结果53只手腕、307只手和128只手指均应用利多卡因和肾上腺素麻醉,无肾上腺素相关并发症。没有患者出现任何主要或次要结果。结论在1%利多卡因加1:10万肾上腺素局麻下,无需镇静、止血带和麻醉师,可以安全地进行腕、手、指手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Surgical treatment of chondral knee defects using a collagen membrane – autologus matrix-induced chondrogenesis Evaluation of the use of tranexamic acid in total knee arthroplasty Clinical and radiographic outcomes of hip resurfacing arthroplasty after eight years – a retrospective study Effect of surgical treatment on the quality of life in patients with non-traumatic avascular necrosis of the femoral head Is there a relationship between the neutrophil/lymphocyte ratio and bilaterality in patients with coxarthrosis?
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1