tailieunhanh - Báo cáo y học: "Endoscopic Carpal Tunnel Release using a modified application technique of local anesthesia: safety and effectiveness."

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Endoscopic Carpal Tunnel Release using a modified application technique of local anesthesia: safety and effectiveness. | Journal of Brachial Plexus and Peripheral Nerve Injury Research article BioMed Central Open Access Endoscopic Carpal Tunnel Release using a modified application technique of local anesthesia safety and effectiveness Abdullah Nabhan 1 Basem Ishak1 Jehad Al-Khayat2 and Wolf-Ingo Steudel1 Address department of Neurosurgery Neurosurgical Department University of Saarland Homburg Germany and department of Anesthesia Anesthesia Department University of Saarland Homburg Germany Email Abdullah Nabhan - dr_a_nabhan@ Basem Ishak - basem-ishak@ Jehad Al-Khayat - Wolf-Ingo Steudel - ncwste@ Corresponding author Published 25 April 2008 Received 2 December 2007 Journal of Brachial Plexus and Peripheral Nerve Injury 2008 3 11 doi 1749-7221-3- Accepted 25 Apnl 2008 11 This article is available from http content 3 1 11 2008 Nabhan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Local anesthesia is widely used for open carpal tunnel release. However injection of local anesthesia as described by Altissimi and Mancini 1988 can interfere with endoscopic carpal tunnel release by increasing the bulk of synovial layers and consequently result in worsening of the view. Purpose The purpose of this study was to evaluate the safety efficacy using modified technique for application of local anesthesia. Methods 33 patients suffering from gradual increasing symptoms of carpal tunnel syndrome. The patients were also asked to evaluate the pain associated with injection as well as tourniquet during surgery using Visual Analogue Scale VAS ranging from 0 no pain to 10 maximum pain . Results One patient required additionally local anesthesia because of mild