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Haemostasis in Open Carpal Tunnel Release: Tourniquet vs Local Anaesthetic and Adrenaline
Peter Ralte, *
David Selvan
Syam Morapudi
Gunasekaran Kumar
Mohammad Waseem
Authors Info & Affiliations
David Selvan
Syam Morapudi
Gunasekaran Kumar
Mohammad Waseem
Authors Info & Affiliations
Abstract
Open carpal tunnel release is one of the commonest performed procedures in hand surgery. We performed a prospective randomised control trial to compare the efficacy and patient satisfaction of the traditional arm tourniquet versus infiltration of adrenaline and local anaesthetic solution to achieve haemostasis during the procedure. Using a combination of objective and subjective measures we concluded that infiltration of local anaesthetic and adrenaline not only provided adequate haemostasis but also provided a significantly more tolerable experience for the patient during the procedure.
Keywords: Carpal tunnel, surgery, haemostasis, tourniquet, adrenaline.
