Comparison of Two Different Concentrations for Foot and Ankle Surgeries During Intravenous Regional Anesthesia (IVRA): A Randomized Cohort Study

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dc.contributor.authorGöksu, Sıtkı
dc.contributor.authorŞen, Elzem
dc.contributor.authorMendes, Ergun
dc.contributor.authorGocergil, Huseyin
dc.contributor.authorCesur, Mehmet
dc.contributor.authorEmeli, Yusuf
dc.date.accessioned2023-04-10T20:21:02Z
dc.date.available2023-04-10T20:21:02Z
dc.date.issued2022
dc.departmentRektörlük, Rektörlüğe Bağlı Birimler, Düzce Üniversitesi Dergilerien_US
dc.description.abstractAim: Intravenous regional anesthesia (IVRA) is not commonly preferred in the lower extremity because of the toxic risks of high-dose local anesthetics. This study aimed to compare the use of two different concentrations of anesthetics with additional tourniquet application to reduce local anesthetics amount during the IVRA method for short-term foot and ankle surgeries. Material and Methods: In this prospective study, 40 patients were allocated to two groups with different concentration formulations of 200 mg lidocaine hydrochloride (Group 30 and Group 20). The groups were compared in terms of demographic data, tourniquet pain, operation time, hemodynamic indicators, and sedo-analgesia needs. Results: Demographic data were similar in the two groups. The mean tourniquet pain time was 41.66±6.61 minutes in Group 20 (n=9) and 36.76±7.17 minutes in Group 30 (n=13) (p=0.120). Perioperative sedo-analgesia consumptions were similar between the groups: weight-adjusted before/after tourniquet pain (p=0.390, p=0.207, p=0.536, and p=0.176), weight-adjusted/none total amount (p=0.425, p=0.578, p=0.268, and p=0.612), per minute before/after tourniquet pain (p=0.075, p=0.506, p=0.354, and p=0.055), for propofol and remifentanil, respectively. There was a significant difference between the propofol and remifentanil consumption per minute before and after the tourniquet pain in both groups: 5.61±1.67 and 14.58±6.62 mg/min propofol (p=0.001), and 4.79±1.69 and 7.86±1.55 mcg/min remifentanil (p=0.001), respectively. No patient had signs of local anesthetic toxicity. Conclusion: Low-dose sedo-analgesia can be used by a modified IVRA method in the management of tourniquet discomfort that may occur until the tourniquet pain develops.en_US
dc.identifier.doi10.18678/dtfd.1108347
dc.identifier.endpage268en_US
dc.identifier.issn1307-671X
dc.identifier.issue3en_US
dc.identifier.startpage263en_US
dc.identifier.trdizinid1146373en_US
dc.identifier.urihttp://doi.org/10.18678/dtfd.1108347
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1146373
dc.identifier.urihttps://hdl.handle.net/20.500.12684/11528
dc.identifier.volume24en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofDüzce Tıp Fakültesi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectintravenous regional anesthesiaen_US
dc.subjectadditional tourniqueten_US
dc.subjectshort-term foot and ankle surgeryen_US
dc.subjecttourniquet painen_US
dc.subjectlower extremity intravenöz rejyonel anestezien_US
dc.subjectek turnikeen_US
dc.subjectkısa süreli ayak ve ayak bileği cerrahisien_US
dc.subjectturnike ağrısıen_US
dc.subjectalt ekstremiteen_US
dc.titleComparison of Two Different Concentrations for Foot and Ankle Surgeries During Intravenous Regional Anesthesia (IVRA): A Randomized Cohort Studyen_US
dc.typeArticleen_US

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