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Haemostasis During Carpal Tunnel Release Under Local Anaesthesia: A Controlled Comparison of a Tourniquet and Adrenaline Infiltration

From the Nuffield Orthopaedic Centre, Oxford

Correspondence: Mr P. D. Burge, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD.

A randomized controlled comparison of tourniquet and local adrenaline infiltration for control of bleeding was performed in patients undergoing bilateral carpal tunnel release under local anaesthesia. Visual analogue scores for intra-operative pain were substantially greater for tourniquet (mean score 4.7) than for adrenaline (2.2). Incomplete control of bleeding was responsible for longer operating time and for the surgeons’ perception of slightly greater operative difficulty with the use of adrenaline. There were no complications attributable to the use of adrenaline. The use of adrenaline-containing local anaesthesia for carpal tunnel release avoids tourniquet pain and is preferred by patients.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 2, 184-186 (1993)
DOI: 10.1016/0266-7681(93)90103-M


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