Forearm Tourniquet With Small Dose Intravenous Lidocaine

Forearm Tourniquet With Small Dose Intravenous Lidocaine as a Substitute to Conventional Intravenous Regional Anaesthesia

The safety and effectiveness of the "mini-dose" Bier block, a technique of i.v. regional anesthesia using low-dose lidocaine (1.5 mg/kg) without routine premedication, was evaluated in the emergency department treatment of pediatric upper extremity fractures and dislocations.

this study aimed at comparing IVRA with small dose lidocaine and forearm tourniquet with conventional IVRA with arm tourniquet and usual lidocaine dose

Inclusion Criteria:

• ASA(American society of anesthesia) I, II , consent, forearm or arm surgery

Exclusion Criteria:

• ASA(American society of anesthesia) III or more, allergy, refusal