Intravenous regional anesthesia using lidocaine and magnesium

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dc.contributor.authorTuran, A
dc.contributor.authorMemis, D
dc.contributor.authorKaramanlioglu, B
dc.contributor.authorGüler, T
dc.contributor.authorPamukçu, Z
dc.date.accessioned2024-06-12T11:19:13Z
dc.date.available2024-06-12T11:19:13Z
dc.date.issued2005
dc.departmentTrakya Üniversitesien_US
dc.description.abstractWe conducted this study to evaluate the effects of magnesium, when added to lidocaine for IV regional anesthesia (IVRA), on tourniquet pain. Thirty patients undergoing elective hand surgery during IVRA were randomly assigned to two groups. IVRA was achieved with 10 mL of saline plus 3 mg/kg lidocaine 0.5% diluted with saline to a total of 40 mL in group C or with 10 mL of 15% magnesium sulfate (12.4 mmol) plus 3 mg/kg lidocaine 0.5% diluted with saline to a total of 40 mL in group M. Injection pain, sensory and motor block onset and recovery time, tourniquet pain, and anesthesia quality were noted. Patients were instructed to receive 75 mg of IM diclofenac when the visual analog scale (VAS) score was > 4, and analgesic requirements were recorded. Sensory and motor block onset times were shorter and recovery times were prolonged in group M (P < 0.05). VAS scores of tourniquet pain were lower in group M at 15, 20, 30, 40, and 50 min (P < 0.001). Anesthesia quality, as determined by the anesthesiologist and surgeon, was better in group M (P < 0.05). Time to the first postoperative analgesic request in group C was 95 +/- 29 min and in group M was 155 38 min (P < 0.05). Postoperative VAS scores were higher for the first postoperative 6 h in group C (P < 0.05). Diclofenac consumption was significantly less in group M (50 +/- 35 mg) when compared with group C (130 + 55 mg) (P < 0.05). We conclude that magnesium as an adjunct to lidocaine improves the quality of anesthesia and analgesia in IVRA.en_US
dc.identifier.doi10.1213/01.ANE.0000145062.39112.C5
dc.identifier.endpage1192en_US
dc.identifier.issn0003-2999
dc.identifier.issue4en_US
dc.identifier.pmid15781543en_US
dc.identifier.scopus2-s2.0-15544367249en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1189en_US
dc.identifier.urihttps://doi.org/10.1213/01.ANE.0000145062.39112.C5
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25119
dc.identifier.volume100en_US
dc.identifier.wosWOS:000227792400046en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnesthesia And Analgesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIschemia-Reperfusion Injuryen_US
dc.subjectSulfateen_US
dc.subjectPainen_US
dc.subjectInjectionen_US
dc.titleIntravenous regional anesthesia using lidocaine and magnesiumen_US
dc.typeArticleen_US

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