Ck. Low et al., COMPARISON BETWEEN SINGLE INJECTION TRANSTHECAL AND SUBCUTANEOUS DIGITAL BLOCKS, Journal of hand surgery. British volume, 22B(5), 1997, pp. 582-584
A randomized double blinded study was performed on 142 patients to eva
luate two different techniques of single injection digital anaesthesia
. In group A, 86 digits in 71 patients were anaesthetized by a single
injection transthecal technique using 3 cc of lignocaine and bupivacai
ne mixture. Anaesthesia of the whole digit was achieved in 83 (97%) di
gits, In group B, 80 digits in 71 patients were anaesthetized with a s
ingle injection subcutaneous technique using the same amount of anaest
hetic mixture. Total anaesthesia of the digit was achieved in 75 (94%)
digits, These two techniques were found to have no differences in eff
ectiveness, distribution, onset and duration of anaesthesia.