The aim of the study:
Comparison of efficacy of two methods of Intera venous regional anesthesia with use of one tourniquet versus traditional method in distal upper limb orthopedics surgery
Study population:
Inclusion criteria:
Patients' age limit from 50 to 20 years, ASA class I, orthopedic surgery with orthopedic interest has been detected in less than 60 minutes.
Exclusion criteria:
Obesity, peripheral vascular disease, Raynaud's phenomenon, scleroderma, Epilepsy, sickle cell anemia, Methemoglobin, patients with any history of drug allergies and diseases such as heart disease - smoking, high blood pressure, coagulation disorders, excessive bleeding, Hb less than 10, use Calcium Canal Blockeror Beta blocker, renal failure, drug abuse and patient who did not have necessary cooperation and skin infection in axillary region
Sample:
80 Patients
Intervention:
5 minutes after lidocaine injection to complete sensory block occurs
Vital signs and tourniquet pain patients (based on criteria VAS) at 0, 15, 30, 60 are recorded.
In Group D (double tourniquet) each time the patient had complained tourniquet pain distal tourniquet was placed on the numb, inflate and the proximal tourniquet is empty and if the patient still had residual pain, narcotic (fentanyl) is injected. But in Group S (single tourniquet) just from a wider deflation (cm 12) against double tourniquet (a tourniquet cm 6) are used, as soon as the patient's pain narcotic (fentanyl) is injected and every time the patient complained of tourniquet pain, narcotics are injected.