Arm versus forearm tourniquet for carpal tunnel decompression - Which is better?: A randomized controlled trial

G. R. Cousins; S. L. Gill; C. G. Tinning; S. M. Johnson; P. K. Rickhuss

doi:10.1177/1753193414565322

Arm versus forearm tourniquet for carpal tunnel decompression - Which is better? A randomized controlled trial

G. R. Cousins (Lead / Corresponding author), S. L. Gill, C. G. Tinning, S. M. Johnson, P. K. Rickhuss

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

UNLABELLED: Tourniquet pain is a common source of complaint for patients undergoing carpal tunnel decompression and practice varies as to the tourniquet position used. There is little evidence to suggest benefit of one position over another. Our aim was to compare patient and surgeon experience of forearm and arm tourniquets. Following a power calculation, 100 patients undergoing open carpal tunnel decompression under local anaesthetic were randomized to either an arm or a forearm tourniquet. Measurements of blood pressure, heart rate and pain were taken at 2.5 min intervals. The operating surgeon also provided a visual analogue scale rating for the extent of bloodless field achieved and for any obstruction caused by the tourniquet. There was no statistically significant inter-group difference in patient pain or physiological response, tourniquet time, bloodless field or length of procedure. The degree of obstruction caused by the tourniquet was significantly higher in the forearm group.

LEVEL OF EVIDENCE: I. Prospective Randomized Controlled Trial.

Original language	English
Pages (from-to)	961-965
Number of pages	5
Journal	Journal of Hand Surgery (European Volume)
Volume	40
Issue number	9
Early online date	14 Jan 2015
DOIs	https://doi.org/10.1177/1753193414565322
Publication status	Published - Nov 2015

Keywords

Adult
Aged
Aged, 80 and over
Anesthetics, Local
Arm
Blood Pressure
Carpal tunnel syndrome
Decompression, Surgical
Female
Forearm
Heart rate
Humans
Lidocaine
Male
Middle aged
Prospective studies
Tourniquets
Visual analog scale
Journal article
randomized controlled trial

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10.1177/1753193414565322

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title = "Arm versus forearm tourniquet for carpal tunnel decompression - Which is better?: A randomized controlled trial",

abstract = "UNLABELLED: Tourniquet pain is a common source of complaint for patients undergoing carpal tunnel decompression and practice varies as to the tourniquet position used. There is little evidence to suggest benefit of one position over another. Our aim was to compare patient and surgeon experience of forearm and arm tourniquets. Following a power calculation, 100 patients undergoing open carpal tunnel decompression under local anaesthetic were randomized to either an arm or a forearm tourniquet. Measurements of blood pressure, heart rate and pain were taken at 2.5 min intervals. The operating surgeon also provided a visual analogue scale rating for the extent of bloodless field achieved and for any obstruction caused by the tourniquet. There was no statistically significant inter-group difference in patient pain or physiological response, tourniquet time, bloodless field or length of procedure. The degree of obstruction caused by the tourniquet was significantly higher in the forearm group.LEVEL OF EVIDENCE: I. Prospective Randomized Controlled Trial.",

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author = "Cousins, {G. R.} and Gill, {S. L.} and Tinning, {C. G.} and Johnson, {S. M.} and Rickhuss, {P. K.}",

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AU - Cousins, G. R.

AU - Gill, S. L.

AU - Tinning, C. G.

AU - Johnson, S. M.

AU - Rickhuss, P. K.

N1 - © The Author(s) 2015.

PY - 2015/11

Y1 - 2015/11

N2 - UNLABELLED: Tourniquet pain is a common source of complaint for patients undergoing carpal tunnel decompression and practice varies as to the tourniquet position used. There is little evidence to suggest benefit of one position over another. Our aim was to compare patient and surgeon experience of forearm and arm tourniquets. Following a power calculation, 100 patients undergoing open carpal tunnel decompression under local anaesthetic were randomized to either an arm or a forearm tourniquet. Measurements of blood pressure, heart rate and pain were taken at 2.5 min intervals. The operating surgeon also provided a visual analogue scale rating for the extent of bloodless field achieved and for any obstruction caused by the tourniquet. There was no statistically significant inter-group difference in patient pain or physiological response, tourniquet time, bloodless field or length of procedure. The degree of obstruction caused by the tourniquet was significantly higher in the forearm group.LEVEL OF EVIDENCE: I. Prospective Randomized Controlled Trial.

AB - UNLABELLED: Tourniquet pain is a common source of complaint for patients undergoing carpal tunnel decompression and practice varies as to the tourniquet position used. There is little evidence to suggest benefit of one position over another. Our aim was to compare patient and surgeon experience of forearm and arm tourniquets. Following a power calculation, 100 patients undergoing open carpal tunnel decompression under local anaesthetic were randomized to either an arm or a forearm tourniquet. Measurements of blood pressure, heart rate and pain were taken at 2.5 min intervals. The operating surgeon also provided a visual analogue scale rating for the extent of bloodless field achieved and for any obstruction caused by the tourniquet. There was no statistically significant inter-group difference in patient pain or physiological response, tourniquet time, bloodless field or length of procedure. The degree of obstruction caused by the tourniquet was significantly higher in the forearm group.LEVEL OF EVIDENCE: I. Prospective Randomized Controlled Trial.

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KW - Aged

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KW - Anesthetics, Local

KW - Arm

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KW - Carpal tunnel syndrome

KW - Decompression, Surgical

KW - Female

KW - Forearm

KW - Heart rate

KW - Humans

KW - Lidocaine

KW - Male

KW - Middle aged

KW - Prospective studies

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JF - Journal of Hand Surgery (European Volume)

IS - 9

ER -

Arm versus forearm tourniquet for carpal tunnel decompression - Which is better? A randomized controlled trial

Abstract

Keywords

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