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Canadian Journal of Anesthesia 49:687-689 (2002)
© Canadian Anesthesiologists' Society, 2002

Regional Anesthesia and Pain

A modification of the inter-cuff technique of IVRA for use in knee arthroscopy

[Une modification de la technique d’ARIV inter-garrot pour l’arthroscopie du genou]

Roshdy Al-Metwalli, MB BCH MSc MD and Hany A. Mowafi, MB BCH MSc MD

From the Department of Anaesthesia, Faculty of Medicine, King Faisal University, Al-Khobar, Saudi Arabia.

Address correspondence to: Dr. Hany A. Mowafi, Department of Anesthesiology, King Fahd University Hospital, PO Box 40081, Al-Khobar 31952, Saudi Arabia. Phone: (+) 966-54-995792; Fax: (+) 966-3-8823650; E-mail: hany_mowafi{at}hotmail.com

Objectif : Décrire une approche modifiée de l’anesthésie régionale intraveineuse (ARIV) pour l’arthroscopie du genou.

Éléments cliniques : Un homme de 52 ans devant subir une arthroscopie du genou a reçu une ARIV avec 40 mL de lidocaïne à 0,5 %. Après avoir réalisé l’ARIV de façon courante, un garrot supplémentaire a été appliqué sous le genou et gonflé après l’exsanguination. On a ensuite injecté l’anesthésique local vers le genou. L’opération n’a pas nécessité d’analgésique supplémentaire.

Conclusion : La technique a permis d’utiliser un petit volume d’anesthésique pour l’ARIV du membre inférieur, ce qui réduit le risque potentiel de toxicité à l’anesthésique local.





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Copyright © 2002 by the Canadian Anesthesiologists' Society.