PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Czasopismo
2007 | 2 | 2 | 222-226
Tytuł artykułu

The impact of tourniquet on patient satisfaction in carpal tunnel decompression

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Release of the transverse carpal ligament can be performed safely under local anesthesia and without the use of tourniquet. There are conflicting reports for the use of tourniquet in carpal tunnel syndrome. The aim of the study was to compare the patient satisfaction with and without tourniquet in patients with carpal tunnel decompression. This was a retrospective study performed in twenty-four patients who underwent bilateral carpal tunnel decompression. All the patients were diagnosed using a combination of clinical history, clinical tests and EMG recordings. One side was operated with use of tourniquet and other side without. Patient evaluation measure was used to assess the satisfaction score. A telephonic interview was conducted and patients were asked the questions regarding discomfort caused by tourniquet. The results demonstrated that there was a significant difference in discomfort at the tourniquet site at the time of operation (p<0.00017). Long term, there was no apparent difference in functional outcome of patients operated on with or without tourniquet. There was also no significant difference in subjective sensation, grip or use of hand in patients who underwent carpal tunnel release with or without tourniquet. We conclude that we should not use tourniquet in carpal tunnel decompression.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
2
Numer
2
Strony
222-226
Opis fizyczny
Daty
wydano
2007-06-01
online
2007-06-01
Twórcy
autor
  • Doncaster Royal Infirmary, Thorne Road, Doncaster, DN2 5LB, Doncaster, UK, kamnag76@yahoo.com
  • Doncaster Royal Infirmary, Thorne Road, Doncaster, DN2 5LB, Doncaster, UK
autor
  • Doncaster Royal Infirmary, Thorne Road, Doncaster, DN2 5LB, Doncaster, UK
Bibliografia
  • [1] J.C. Stevens, S. Sun, C.M. Beard, W.M. O’Fallon and L.T. Kurland: “Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980”, Neurology, Vol. 38, (1998), pp. 134–138.
  • [2] G.M. Franklin, J. Haug, N. Heyer, H. Checkoway and N. Peck: “Occupational carpal tunnel syndrome in Washington state, 1984–88”, Am. J. Public Health, Vol. 81, (1991), pp. 741–746. http://dx.doi.org/10.2105/AJPH.81.6.741[Crossref]
  • [3] S.J. Kaplan, S.Z. Glickel and R.G. Eaton: “Predictive factors in the non-surgical treatment of carpal tunnel syndrome”, J. Hand Surg. [Br], Vol. 15, (1990), pp. 106–108. http://dx.doi.org/10.1016/0266-7681(90)90061-8[Crossref]
  • [4] J.R. Learmonth: “The principle of decompression in treatment of certain diseases of peripheral nerves”, Surg. Clin. North Am., Vol. 13, (1933), pp. 905–913.
  • [5] D.W. Gail: “Surgical decompression of the carpal tunnel using infiltrative anaesthesia: description of technique”, J. R. Coll. Surg. Edinb., Vol. 36, (1991), p. 341.
  • [6] J.E. Bennett and L. Mohler: “Arm tourniquet tolerance in unanesthetized adults”, Surgical Forum, Vol. 15, (1964), pp. 463–465. [PubMed]
  • [7] B.D. Braithwaite, G.J. Robinson and P.D. Burge: “Haemostasis during carpal tunnel release under local anaesthesia: A controlled comparison of a tourniquet and adrenaline infiltration”, J. Hand Surg. [Br], Vol. 18B, (1993), pp. 184–186. http://dx.doi.org/10.1016/0266-7681(93)90103-M[Crossref]
  • [8] N.J. Yousif, B.K. Grunert, R.A. Forte, H.S. Matloub and J.R. Sanger: “A comparison of upper arm and forearm tourniquet tolerance”, J. Hand Surg. [Br], Vol. 18B, (1993), pp. 639–641. http://dx.doi.org/10.1016/0266-7681(93)90023-9[Crossref]
  • [9] A.C. Macey, F.D. Burke, K. Abbott, M.J. Barton, E. Bradbury, A. Bradley, M.J. Bradley, O. Brady, A. Burt and P. Brown: “Outcomes of hand surgery. British society for Surgery of the hand”, J. Hand Surg. [Br], Vol. 20B, (1995), pp. 841–855. http://dx.doi.org/10.1016/S0266-7681(95)80059-X[Crossref]
  • [10] J.J. Dias, B. Bhowal, C.J. Wildin and J.R. Thompson: “Assessing the outcome of disorders of the hand. Is the patient evaluation measure reliable, valid, responsive and without bias?”, J. Bone Joint Surg., Vol. 83B, (2001), pp. 235–240. http://dx.doi.org/10.1302/0301-620X.83B2.10838[Crossref]
  • [11] A. Gulati, I.S. Whitaker, M. Jaggard, B.N. Arch and J. Hopkinson-Woolley: “Carpal tunnel decompression. The impact of tourniquet, anaesthesia type, and operating team on patient satisfaction scores”, The British Association of Plastic Surgeons, Vol. 58, (2005), pp. 116–119.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-007-0016-4
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.