Local anaesthesia versus intravenous regional anaesthesia in endoscopic carpal tunnel release: a randomized controlled trial

We carried out a prospective randomized trial in 38 patients to compare intravenous regional anaesthesia with local anaesthesia in endoscopic carpal tunnel release using the Agee single-portal technique. There was no significant difference in reported pain during surgery. Immediately after surgery,...

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Bibliographic Details
Published inThe Journal of hand surgery, European volume Vol. 38; no. 5; p. 481
Main Authors Sørensen, A M, Dalsgaard, J, Hansen, T B
Format Journal Article
LanguageEnglish
Published England 01.06.2013
Subjects
Adult
Aged
Anesthesia, Conduction - methods
Anesthesia, Local - methods
Carpal Tunnel Syndrome - surgery
Decompression, Surgical
Female
Humans
Male
Middle Aged
Pain Measurement
Pain, Postoperative - prevention & control
Prospective Studies
Tourniquets
Treatment Outcome
Carpal tunnel syndrome
endoscopic carpal tunnel release
carpal tunnel release
intravenous regional anaesthesia
local anaesthesia
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Summary:We carried out a prospective randomized trial in 38 patients to compare intravenous regional anaesthesia with local anaesthesia in endoscopic carpal tunnel release using the Agee single-portal technique. There was no significant difference in reported pain during surgery. Immediately after surgery, patients in the local anaesthesia group reported significantly less pain in the hand and at the tourniquet. Two hours after surgery, patients in the local anaesthesia group reported significantly less hand pain. Moreover, significantly fewer patients in the local anaesthetic group required additional analgesics during the first 2 hours after operation. We conclude that local anaesthesia reduces post-operative pain in endoscopic carpal tunnel release compared with intravenous regional anaesthesia.
ISSN:2043-6289
DOI:10.1177/1753193412453664