[Locoregional anesthesia intravenous [a about 500 cases]]

ABSTRACT

Intravenous locoregional anesthesia [IVLRA] is simple, efficient, and low cost technic ; it is indicated in a hand and forearm surgery especially in emergency and ambulatory patient. A 500 patients series during 7 years experience is reported. These patients were admitted in our hospital for surgical indications concerning their hand or their forearm. 310 patients were treated by delayed surgery and 190 others treated in emergency. Double tourniquet technique was used and the drug injected was 0.5 percent lidocaine without any adrenaline. Average duration of tourniquet put on was 75 minutes [30-120 minutes]. 15 cases of IVLRA were converted to general anesthesia 10 for very painful tourniquet and 5 others for surgical act needing more than 120 minutes