Early Versus Late Deflation of Distal Tourniquet in IVRA With and Without Ketorolac in Hand & Forearm Surgery
Hand Injuries With Intravenous Regional Anesthesia
About this trial
This is an interventional other trial for Hand Injuries With Intravenous Regional Anesthesia
Eligibility Criteria
Inclusion Criteria:
- A normal healthy patient or A patient with mild systemic disease
- Aged between 20 and 70 years
- Male or female
- Schedueled for hand or forearm surgery
Exclusion Criteria:
- Severe Raynaud's Disease (intermittent arteriolar vasospasm of the distal limbs after cold or emotional stimuli).
- Sickle Cell Disease (IVRA is relatively contraindicated, unless meticulous exsanguination of the limb takes place prior to cuff inflation).
- Crush injury to the limb, IVRA may provoke further tissue damage secondary to hypoxia.
- Patients should be fasting, as there may be a possibility of conversion to a general anaesthetic, alternatively the patient may require sedation in addition to IVRA to improve co-operation.
- Psychic, uncooperative patients.
- Patient refusal.
Sites / Locations
- Sohag University Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Group one ( lidocaine or control LE ) Early deflation
Group two ( lidocaine , ketorolac LKE) Early deflation
Group three ( lidocaine Or control LL ) Late deflation
Group four ( lidocaine , ketorolac LKL ) Late deflation
Patients in group one (lidocaine or control group LE = 20): will receive 2% lidocaine 3mg/kg (maximum 200 mg) then distal tourniquet deflation occurs after 20 minutes.
Patients in group two (lidocaine ketorolac LKE = 20): will receive 2% lidocaine 3mg/kg (maximum 200 mg) plus ketorolac 0.5mg/kg (maximum 30mg) then distal tourniquet deflation occurs after 20 minutes.
Patients in group three (lidocaine or control group LL = 20): will receive 2% lidocaine 3mg/kg (maximum 200 mg) then distal tourniquet deflation occurs after 40 minutes.
Patients in group four (lidocaine ketorolac LKL = 20): will receive 2% lidocaine 3mg/kg (maximum 200 mg) plus ketorolac 0.5mg/kg (maximum 30mg) then distal tourniquet deflation occurs after 40 minutes.