Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia

BACKGROUND AND OBJECTIVE: Intravenous regional anesthesia (IVRA) is a simple and reliable method for upper extremity injuries. Different additives have been combined with local anesthetics to improve block quality, decrease tourniquet pain and postoperative analgesia in IVRA. This study was performe...

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Autores principales:	Nadia Banihashem, Bahman Hasan Nasab, Ebrahim Alijanpour, Hakimeh Alereza, Abolhasan Taheri, V Hosseini, Ali Bijani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2012
Materias:	nitroglycerine lidocaine intravenous regional anesthesia analgesia Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/84e4e381fdd94776a22f9deb961c1236
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spelling	oai:doaj.org-article:84e4e381fdd94776a22f9deb961c12362021-11-10T08:52:02ZComparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia1561-41072251-7170https://doaj.org/article/84e4e381fdd94776a22f9deb961c12362012-01-01T00:00:00Zhttp://jbums.org/article-1-3977-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Intravenous regional anesthesia (IVRA) is a simple and reliable method for upper extremity injuries. Different additives have been combined with local anesthetics to improve block quality, decrease tourniquet pain and postoperative analgesia in IVRA. This study was performed to evaluate the effect of nitroglycerine on tourniquet pain and intraoperative analgesia when added to lidocaine for IV regional anesthesia. METHODS: In a clinical trial, 50 patients with upper extremity injury were scheduled for IVRA, randomly allocated into two groups. They were unified by age and gender. Under identical condition, control group received a total dose of 200 mg lidocaine diluted with saline (40 cc) and study group received 200 mg lidocaine plus 200 µg nitroglycerine diluted with saline (40 cc). Anesthesia quality, tourniquet pain and opioid requirement were measured during surgery. After the tourniquet deflation, time to first analgesic requirement was noted. FINDINGS: Intraoperative pain scores were not different between two groups and fentanyl requirement was similar. The onset of tourniquet pain was similar in case (21.96±3.87 min) and control group (21.12±3.33 min) (p=0.41). Analgesia time and time of initial analgesic requirement after tourniquet deflation was 54.4±9.95 min in control group and 60.40±10.17 min in case group (p=0.625). CONCLUSION: Addition of nitroglycerine to lidocaine was not improved the quality of IVRA, postoperative analgesia and opioid requirements in patients undergoing hand surgery.Nadia BanihashemBahman Hasan NasabEbrahim AlijanpourHakimeh AlerezaAbolhasan TaheriV HosseiniAli BijaniBabol University of Medical Sciencesarticlenitroglycerinelidocaineintravenous regional anesthesiaanalgesiaMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 1, Pp 7-12 (2012)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	nitroglycerine lidocaine intravenous regional anesthesia analgesia Medicine R Medicine (General) R5-920
spellingShingle	nitroglycerine lidocaine intravenous regional anesthesia analgesia Medicine R Medicine (General) R5-920 Nadia Banihashem Bahman Hasan Nasab Ebrahim Alijanpour Hakimeh Alereza Abolhasan Taheri V Hosseini Ali Bijani Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
description	BACKGROUND AND OBJECTIVE: Intravenous regional anesthesia (IVRA) is a simple and reliable method for upper extremity injuries. Different additives have been combined with local anesthetics to improve block quality, decrease tourniquet pain and postoperative analgesia in IVRA. This study was performed to evaluate the effect of nitroglycerine on tourniquet pain and intraoperative analgesia when added to lidocaine for IV regional anesthesia. METHODS: In a clinical trial, 50 patients with upper extremity injury were scheduled for IVRA, randomly allocated into two groups. They were unified by age and gender. Under identical condition, control group received a total dose of 200 mg lidocaine diluted with saline (40 cc) and study group received 200 mg lidocaine plus 200 µg nitroglycerine diluted with saline (40 cc). Anesthesia quality, tourniquet pain and opioid requirement were measured during surgery. After the tourniquet deflation, time to first analgesic requirement was noted. FINDINGS: Intraoperative pain scores were not different between two groups and fentanyl requirement was similar. The onset of tourniquet pain was similar in case (21.96±3.87 min) and control group (21.12±3.33 min) (p=0.41). Analgesia time and time of initial analgesic requirement after tourniquet deflation was 54.4±9.95 min in control group and 60.40±10.17 min in case group (p=0.625). CONCLUSION: Addition of nitroglycerine to lidocaine was not improved the quality of IVRA, postoperative analgesia and opioid requirements in patients undergoing hand surgery.
format	article
author	Nadia Banihashem Bahman Hasan Nasab Ebrahim Alijanpour Hakimeh Alereza Abolhasan Taheri V Hosseini Ali Bijani
author_facet	Nadia Banihashem Bahman Hasan Nasab Ebrahim Alijanpour Hakimeh Alereza Abolhasan Taheri V Hosseini Ali Bijani
author_sort	Nadia Banihashem
title	Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
title_short	Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
title_full	Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
title_fullStr	Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
title_full_unstemmed	Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia
title_sort	comparison of lidocaine-nitroglycerine with lidocaine for intravenous regional anesthesia
publisher	Babol University of Medical Sciences
publishDate	2012
url	https://doaj.org/article/84e4e381fdd94776a22f9deb961c1236
work_keys_str_mv	AT nadiabanihashem comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT bahmanhasannasab comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT ebrahimalijanpour comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT hakimehalereza comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT abolhasantaheri comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT vhosseini comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia AT alibijani comparisonoflidocainenitroglycerinewithlidocaineforintravenousregionalanesthesia
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Comparison of Lidocaine-Nitroglycerine with Lidocaine for Intravenous Regional Anesthesia

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