Haemostasis in Open Carpal Tunnel Release: Tourniquet vs Local Anaesthetic and Adrenaline

Peter Ralte*, David Selvan, Syam Morapudi, Gunasekaran Kumar, Mohammad Waseem
Macclesfield District General Hospital, Victoria Road, Macclesfield, SK10 3BL, UK

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© Ralte et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Macclesfield District General Hospital, Victoria Road, Macclesfield, SK10 3BL, UK; Tel: +44 (0)1625 661315; Fax: +44 (0)1625 663153; E-mail:


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.