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A modified technique of intravenous regional anaesthesia (IVRA) using upper arm double tourniquet with temporary mid forearm tourniquet - does it improve regional anaesthesia and postoperative analgesia for hand surgery?
ISRCTN ISRCTN96783602
ClinicalTrials.gov identifier
Public title A modified technique of intravenous regional anaesthesia (IVRA) using upper arm double tourniquet with temporary mid forearm tourniquet - does it improve regional anaesthesia and postoperative analgesia for hand surgery?
Scientific title
Acronym N/A
Serial number at source N0050124903
Study hypothesis Does the use of a temporary mid forearm tourniquet during IVRA improve anaesthesia for hand surgery?
Lay summary Not provided at time of registration
Ethics approval Added 04 September 2009: Ethics approval was received from the local medical ethics committee before trial recruitment began.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Surgery: Hand
Participants - inclusion criteria Adult patients presenting for elective minor hand surgery, under IVRA, at St Luke's Hospital.
Participants - exclusion criteria Added 04 September 2009: patient refusal.
Anticipated start date 20/05/2003
Anticipated end date 31/10/2003
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants Added 04 September 2009: 50
Interventions Patients having elective hand surgery, under IVRA, will be randomised into two groups. One group will have the standard technique of IVRA and the other group will have a modified technique whereby an additional forearm tourniquet is also applied. Anaesthesia of the hand will be assessed using forceps pinch and patient assessment of comfort during the operation. Postoperative analgesia will be measured by patient assessment of comfort thirty minutes after the end of the operation. The two techniques will be compared to see if the modified technique produces quicker onset, better anaesthesia and improved postoperative analgesia.
Primary outcome measure(s) 1. Speed of onset of anaesthesia
2. Assessment of anaesthesia over area to be incised
3. Total volume of local anaesthetic (LA) infiltrated by surgeon during procedure
4. Patient comfort during procedure and thirty minutes postoperatively (using Visual Analogue Scores)
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Bradford Hospitals NHS Trust (UK)
Trial website
Publications 1. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21088591
Contact name Dr  Stephen  Fletcher
  Address Anaesthesia
Bradford Royal Infirmary
Duckworth Lane
  City/town Bradford
  Zip/Postcode BD9 6RJ
  Country United Kingdom
  Tel +44 (0)1274 364065
  Fax +44 (0)1274 366961
  Email sjfletcher@doctors.org.uk
Sponsor Record Provided by the NHSTCT Register - 2004 Update - Department of Health (UK)
  Address The Department of Health,
Richmond House,
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 30/09/2004
Last edited 15/08/2011
Date ISRCTN assigned 30/09/2004
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