1. A demonstration of the site of action of intravenous lignocaine
- Author
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C. I. Emanuel, S. A. Fleming, R. M. Mccutcheon, and J. A. Veiga-Pires
- Subjects
Tourniquet ,medicine.medical_specialty ,Lidocaine ,business.industry ,Contrast Media ,Tissue level ,General Medicine ,Surgery ,Radiography ,Anesthesiology and Pain Medicine ,Anesthesia ,Injections, Intravenous ,Arm ,Humans ,Medicine ,business ,Free nerve ending ,Site of action ,medicine.drug - Abstract
The intravenous injection of lignocaine distal to a tourniquet has been found a useful, time-saving, safe method of anaesthesia for short operations on a limb. There has been some controversy concerning the site of action of the agent. p]A solution of lignocaine containing Hypaque as a radio-opaque medium was used to permit radiological demonstration of the distribution of the solution injected into the veins of the arm distal to the tourniquet. X-ray pictures of the injected limb were correlated with the area of anaesthesia existing at the time of the X-ray exposure, and it was shown that anaesthesia existed only in those areas where the radio-opaque medium was demonstrated actually in the tissues. Anaesthesia spread as the radio-opaque material spread into further tissue. It would seem to be conclusively shown that intravenous lignocaine injected distal to a tourniquet acts at the tissue level on the nerve endings. This would explain the clinical observation of areas of analgesia and complete preservation of sensation existing in the distribution of the same nerve.
- Published
- 1966
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