Combined distal median nerve block and local anesthesia with lidocaine:epinephrine for carpal tunnel release.

ABSTRACT:

Aim

Evaluating patient comfort during full awake local anesthesia in carpal tunnel release surgery, without tourniquet use, by using epinephrine to obtain a completely dry surgical field.

Methods

We included into the study 41 patients who underwent carpal tunnel syndrome surgery under full awake combined anesthesia, using a 9-point questionnaire. Pain and anxiety in all patients were evaluated through a Wang-Baker 0-5 scale. The injection solution consisted of 0.1cc of epinephrine and 10cc of 1% lidocaine (1:100.000); 5cc were used for local cutaneous anesthesia, and 5cc were used for distal median nerve block. All patients underwent a classic, open carpal tunnel release.

Results

Anxiety scores during anesthesia and the post-operative period did not show a statistical

SUBMITTER: Sallum Y 

PROVIDER: S-EPMC8941162 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature