Use of a simple forearm tourniquet as an adjunct to an intravenous regional block.

Intravenous regional anesthesia (IVRA) is a well-recognized technique for producing anesthesia during surgical procedures of the extremities. It has been suggested that the application of a tourniquet to the forearm may improve the quality of the block. The purpose of this investigation was to determine whether the application of a forearm tourniquet would accelerate onset time and improve the density and quality of an intravenous regional block. Twenty volunteer subjects were enrolled and randomly assigned in this crossover investigation. Control subjects received a standard IVRA technique; experimental subjects received IVRA technique with the application of a simple forearm tourniquet. Pain was elicited by means of an electrical stimulus, and assessments were performed using a 100-mm Visual Analogue Scale (VAS). Paired t tests were used to examine differences between groups on the variables studied. It was noted that the arm with the tourniquet had a shorter time for the onset of anesthesia (P = .0008) and had lower 10-minute VAS tolerance (P = .0469). This investigation suggests that the application of a simple forearm tourniquet as an adjunct to IVRA provides a more rapid onset of anesthesia than when no tourniquet is applied and may improve the density and quality of the block.

Complicaciones de la anestesia raquidea en el Hospital Pablo Arturo Suárez 1995 / Complications of the rachidian anesthesia in the Hospital Pablo Artuto Suárez Hospital 1995

Presenta un estudio longitudinalmente prospectivo de las complicaciones de la práctica de anestesia raquídea en el Hospital Pablo Arturo Suárez de Quito. Se analizan un total de 130 pacientes quirúrgicos entre mar. a jul. 1995. Se pudo encontrar los siguientes hallazgos: 1. Sexo femenino 35.15xciento, masculino 63.84xciento. 2. Tipos de cirugía: Ginecológica 19.16xciento, general 34.04xciento, traumatología 46.8xciento. 3. Altura de punción en mujeres DXII-LI 0xciento. Varones. D XII-LI 1.2xciento. L II-L III 19.27xciento y L IV-L V 3.61xciento. Efectos colaterales en mujeres: Hipotensión 13.24xciento. Bradicardia 14.45xciento, técnica inadecuada 3.62xciento. Dolor tipo corriente 7.22xciento Otros 13.26xciento. Otros 48.2xciento.