Canadian Journal of Anaesthesia

, Volume 49, Issue 7, pp 687–689 | Cite as

A modification of the inter-cuff technique of IVRA for use in knee arthroscopy

  • Roshdy Al-Metwalli
  • Hany A. Mowafi
Regional Anesthesia and Pain



To describe a modified approach to intravenous regional anesthesia (IVRA) for operations on the knee joint.

Clinical features

A 52-yr-old male presenting for knee arthroscopy was anesthetized by IVRA using only 40 mL of lidocaine 0.5%. After performing IVRA in the routine way an additional below knee tourniquet was used and inflated after local anesthetic exsanguination towards the knee. Operation was performed without the need for further analgesic.


The technique allowed the use of a small anesthetic volume for IVRA on the lower limb, thus decreasing the potential risk of local anesthetic toxicity.


Knee Joint Knee Arthroscopy Sensory Nerve Ending Plastic Cannula Intravenous Regional Anesthesia 
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Une modification de la technique d’ARIV inter-garrot pour l’arthroscopie du genou



Décrire une approche modifiée de l’anesthésie régionale intraveineuse (ARIV) pour l’arthroscopie du genou.

Éléments cliniques

Un homme de 52 ans devant subir une arthroscopie du genou a reçu une ARIV avec 40 mL de lidocaïne à 0,5 %. Après avoir réalisé l’ARIV de façon courante, un garrot supplémentaire a été appliqué sous le genou et gonflé après l’exsanguination. On a ensuite injecté l’anesthésique local vers le genou. L’opération n’a pas nécessité d’analgésique supplémentaire.


La technique a permis d’utiliser un petit volume d’anesthésique pour l’ARIV du membre inférieur, ce qui réduit le risque potentiel de toxicité à l’anesthésique local.


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Copyright information

© Canadian Anesthesiologists 2002

Authors and Affiliations

  1. 1.Department of Anaesthesia, Faculty of MedicineKing Faisal UniversityAl-KhobarSaudi Arabia

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