Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia
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Publication Date: | 2016 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | Revista Brasileira de Ortopedia (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100036 |
Summary: | ABSTRACT OBJECTIVE: To evaluate the results and complications from surgical treatment of carpal tunnel syndrome by means of an open route, using a local anesthesia technique comprising use of a solution of lidocaine, epinephrine and sodium bicarbonate. MATERIAL AND METHODS: This was a cohort study conducted through evaluating the medical files of 16 patients who underwent open surgery to treat carpal tunnel syndrome, with use of local anesthesia consisting of 20 mL of 1% lidocaine, adrenaline at 1:100,000 and 2 mL of sodium bicarbonate. The DASH scores before the operation and six months after the operation were evaluated. Comparisons were made regarding the intensity of pain at the time of applying the anesthetic and during the surgical procedure, and in relation to other types of procedure. RESULTS: The DASH score improved from 65.17 to 16.53 six months after the operation (p < 0.01). In relation to the anesthesia, 75% of the patients reported that this technique was better than or the same as venous puncture and 81% reported that it was better than a dental procedure. Intraoperative pain occurred in two cases. There were no occurrences of ischemia. CONCLUSION: Use of local anesthesia for surgically treating carpal tunnel syndrome is effective for performing the procedure and for the final result. |
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Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesiaCarpal tunnel syndromeLocal anesthesiaEpinephrineABSTRACT OBJECTIVE: To evaluate the results and complications from surgical treatment of carpal tunnel syndrome by means of an open route, using a local anesthesia technique comprising use of a solution of lidocaine, epinephrine and sodium bicarbonate. MATERIAL AND METHODS: This was a cohort study conducted through evaluating the medical files of 16 patients who underwent open surgery to treat carpal tunnel syndrome, with use of local anesthesia consisting of 20 mL of 1% lidocaine, adrenaline at 1:100,000 and 2 mL of sodium bicarbonate. The DASH scores before the operation and six months after the operation were evaluated. Comparisons were made regarding the intensity of pain at the time of applying the anesthetic and during the surgical procedure, and in relation to other types of procedure. RESULTS: The DASH score improved from 65.17 to 16.53 six months after the operation (p < 0.01). In relation to the anesthesia, 75% of the patients reported that this technique was better than or the same as venous puncture and 81% reported that it was better than a dental procedure. Intraoperative pain occurred in two cases. There were no occurrences of ischemia. CONCLUSION: Use of local anesthesia for surgically treating carpal tunnel syndrome is effective for performing the procedure and for the final result.Sociedade Brasileira de Ortopedia e Traumatologia2016-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100036Revista Brasileira de Ortopedia v.51 n.1 2016reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2015.12.001info:eu-repo/semantics/openAccessBarros,Marco Felipe Francisco HonoratoLuz Júnior,Aurimar da RochaRoncaglio,BrunoQueiróz Júnior,Célio PinheiroTribst,Marcelo Fernandeseng2016-03-03T00:00:00Zoai:scielo:S0102-36162016000100036Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2016-03-03T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
title |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
spellingShingle |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia Barros,Marco Felipe Francisco Honorato Carpal tunnel syndrome Local anesthesia Epinephrine |
title_short |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
title_full |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
title_fullStr |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
title_full_unstemmed |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
title_sort |
Evaluation of surgical treatment of carpal tunnel syndrome using local anesthesia |
author |
Barros,Marco Felipe Francisco Honorato |
author_facet |
Barros,Marco Felipe Francisco Honorato Luz Júnior,Aurimar da Rocha Roncaglio,Bruno Queiróz Júnior,Célio Pinheiro Tribst,Marcelo Fernandes |
author_role |
author |
author2 |
Luz Júnior,Aurimar da Rocha Roncaglio,Bruno Queiróz Júnior,Célio Pinheiro Tribst,Marcelo Fernandes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Barros,Marco Felipe Francisco Honorato Luz Júnior,Aurimar da Rocha Roncaglio,Bruno Queiróz Júnior,Célio Pinheiro Tribst,Marcelo Fernandes |
dc.subject.por.fl_str_mv |
Carpal tunnel syndrome Local anesthesia Epinephrine |
topic |
Carpal tunnel syndrome Local anesthesia Epinephrine |
description |
ABSTRACT OBJECTIVE: To evaluate the results and complications from surgical treatment of carpal tunnel syndrome by means of an open route, using a local anesthesia technique comprising use of a solution of lidocaine, epinephrine and sodium bicarbonate. MATERIAL AND METHODS: This was a cohort study conducted through evaluating the medical files of 16 patients who underwent open surgery to treat carpal tunnel syndrome, with use of local anesthesia consisting of 20 mL of 1% lidocaine, adrenaline at 1:100,000 and 2 mL of sodium bicarbonate. The DASH scores before the operation and six months after the operation were evaluated. Comparisons were made regarding the intensity of pain at the time of applying the anesthetic and during the surgical procedure, and in relation to other types of procedure. RESULTS: The DASH score improved from 65.17 to 16.53 six months after the operation (p < 0.01). In relation to the anesthesia, 75% of the patients reported that this technique was better than or the same as venous puncture and 81% reported that it was better than a dental procedure. Intraoperative pain occurred in two cases. There were no occurrences of ischemia. CONCLUSION: Use of local anesthesia for surgically treating carpal tunnel syndrome is effective for performing the procedure and for the final result. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100036 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000100036 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2015.12.001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.51 n.1 2016 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122360064901120 |