Abstract
A case is reported of a congested arm occurring during intravenous regional anaesthesia with a double cuff tourniquet in a female elderly patient suffcring from hypertension. The proximal cuff was apparently inflated adequately to 300 mmHg. Recent studies showed that the use of only the proximal tourniquet was associated with a risk of venous leakage. In elderly hypertensive patients, when intravenous regional anaethesia was necessary, one would be justified in inflating the two cuffs before injection of the local anaesthetic.
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