J Korean Orthop Assoc.  1978 Sep;13(3):419-423. 10.4055/jkoa.1978.13.3.419.

Intravenous Regional Anesthesia with Lidocaine under Double Tourniquet for Surgery in the Upper extremities

• Kim YS
• Kim HT
• Sung KT
• Nam JO

• KMID: 2460349
• DOI: http://doi.org/10.4055/jkoa.1978.13.3.419

Abstract

During the past three years, 110 consecutive cases of intravenous lidocaine anesthesia under tourniquet for surgery in the upper extremities were observed. The cases were simple injuries or diseases which needed simple surgery or closed reduction requiring only a short period of time. A tourniquet with double cuff was utilized. After tourniquet inflation, 0.5% or 0.75% lidocaine was injected intravenously in the amount of 1.5 mg per Kg body weight. Satisfactory anesthesia was performed in all except 18 cases who had some discomfort of tourniquet origin and analgesics were necessary. No significant complication was noticed. The technic was very simple, safe and effective for simple procedures on hands or forearms.

MeSH Terms

Analgesics
Anesthesia
Anesthesia, Conduction*
Body Weight
Forearm
Hand
Inflation, Economic
Lidocaine*
Tourniquets*
Upper Extremity*
Analgesics
Lidocaine