Efficiency of volume reduction by application of additional tourniquet in ivra for short term foot operations

Aim: Intravenous Regional Anesthesia (IVRA) in lower extremity is not widely used due to high dose and volumetric risks. We aimed to investigate the effectiveness of IVRA with less volume by applying a short-duration additional tourniquet from a lower level. Methods: The study included 40 ASA I-II-III adult patients who had underwent elective orthopedic foot surgery. Patients were divided into two groups: Group 20 (n=20) received 200 mg lidocaine hydrochloride completed to 20 ml with saline and Group 30 (n=20) received 200 mg lidocaine hydrochloride completed to 30 ml with saline. Periods of tourniquet pain formation, peroperative follow-up values were compared. Results: Demographic data were similar in both groups. No statistically significant difference was found between the number of patients with tourniquet pain in group 20 and group 30. There was no statistically significant difference between the two groups in terms of follow-up values. Discussion: Inourstudy, effective anesthesia was provided in all groups and no side effects were encountered. We believe that an additional lower level tourniquet andl ow-volume IVRA can be used to reduce unwanted side effects for short-duration lower extremity surgeries. Key words: IVRA, foot surgery, tourniquet pain