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Anesth Analg 1986; 65:1181-1185
© 1986 International Anesthesia Research Society
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Addition of Glucose to Bupivacaine in Spinal Anesthesia Increases Incidence of Tourniquet Pain

Phillip O. Bridenbaugh, MD, Rene R. P. M. Hagenouw, MD, Mathieu J. M. Gielen, MD, and Håkan H. Edström, PhD

Department of Anaesthesia, University of Nijmegen, Nijmegen, The Netherlands, and the Department of Anesthesia, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Abstract

The effect of baricity of 0.5% bupivacaine on the incidence of tourniquet pain when used for spinal anesthesia was evaluated in 60 patients undergoing orthopedic surgery. Three ml of either hyperbaric (8% glucose) or isobaric (glucose-free) solution was used. A standard 7-cm orthopedic tourniquet was applied at the thigh and was inflated to 300 mm Hg for 2 hr or until the patient experienced pain from the tourniquet. During application time, the levels of sensory block to pin prick were similar in the groups. The incidence of tourniquet pain in the glucose-free group (4/30) was significantly lower than in the hyperbaric group (11/30).

Key Words: ANESTHETIC TECHNIQUES, SPINAL—tourniquet pain • PAIN—tourniquet




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D. T. Warren and D. J. Kopacz
Spinal 2-Chloroprocaine: The Effect of Added Dextrose
Anesth. Analg., January 1, 2004; 98(1): 95 - 101.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1986 by the International Anesthesia Research Society.