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ACE Report #5050
Ace Report Cover Hand & Wrist

Buffered lidocaine reduces pain with local anesthesia in carpal tunnel decompression

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

The effect of buffered lidocaine in local anesthesia: a prospective, randomized, double-blind study

J Hand Surg Am. 2013 May;38(5):971-5. doi: 10.1016/j.jhsa.2013.02.016. Epub 2013 Apr 6

Contributing Authors: HJ Lee YJ Cho HS Gong SH Rhee HS Park GH Baek

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25 patients (50 hands) undergoing bilateral simultaneous carpal tunnel decompression were randomized to receive local anesthetic injection of lidocaine with a buffered solution of sodium bicarbonate in one hand and mixed with saline in the other. Results, measuring the effects of buffering on visual analog scales pain scores, demonstrated that the buffered hand reported lower pain scores than the ...

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