Tourniquet Use in Wide-Awake Carpal Tunnel Release.

摘要: Background: Carpal tunnel syndrome is a common cause of upper extremity discomfort. Surgical release the median nerve can be performed under general or local anesthetic, with without tourniquet. Wide-awake carpal (CTR) (local anesthesia, no sedation) gaining popularity. Tourniquet discomfort reported downside. This study reviews outcomes in wide-awake CTR and compares tourniquet versus use. Methods: Wide-awake, open CTRs from February 2013 to April 2016 were retrospectively reviewed. Patients divided into 2 cohorts: Demographics, comorbidities, tobacco use, operative time, estimated blood loss, complications compared. Results: A total 304 on 246 patients. The majority patients male (88.5%), mean age was 59.9 years. One hundred (32.9%) diabetic, 92 (30.2%) taking antithrombotics. Seventy-five (24.7%) smokers. forearm used for 90 (29.6%). Mean time 24.97 minutes 21.69 without. Estimated loss 3.16 mL 4.25 All other analyzed not statistically significant. Conclusion: Operative longer less but these findings are clinically suggests that anesthetic epinephrine safe effective alternative use CTR. overall rate low, there major differences postoperative between groups.