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Journal of Hand Surgery (British and European Volume)
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Comparison between Single Injection Transthecal and Subcutaneous Digital Blocks

C. K. LOW
H. P. WONG
Y. P. LOW

From the Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore

Correspondence: Dr Low Chee Kwang, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Moulmein Road, Singapore 308433.

A randomized double blinded study was performed on 142 patients to evaluate two different techniques of single injection digital anaesthesia. In group A, 86 digits in 71 patients were anaesthetized by a single injection transthecal technique using 3 cc of lignocaine and bupivacaine mixture. Anaesthesia of the whole digit was achieved in 83 (97%) digits. In group B, 80 digits in 71 patients were anaesthetized with a single injection subcutaneous technique using the same amount of anaesthetic mixture. Total anaesthesia of the digit was achieved in 75 (94%) digits. These two techniques were found to have no differences in effectiveness, distribution, onset and duration of anaesthesia.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 5, 582-584 (1997)
DOI: 10.1016/S0266-7681(97)80350-6
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This article has been cited by other articles:


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 J Hand Surg Eur VolHome page
M. SONOHATA, A. ASAMI, K. OGAWA, S. NAGAMINE, and T. HOTOKEBUCHI
Single Injection Digital Block: Is a Transthecal Injection Necessary?
J Hand Surg Eur Vol., February 1, 2009; 34(1): 94 - 98.
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 Emerg. Med. J.Home page
T Jaiganesh, J Barling, A Parfitt, and J Criddle
Single injection digital anaesthesia: an easy technique for paediatric finger injuries
Emerg. Med. J., December 1, 2008; 25(12): 829 - 830.
[Abstract] [Full Text] [PDF]