Abstract
Comment This is a straightforward study that supports a reasonable hypothesis that the analgesic effect of ketorolac might be enhanced if its administration could be limited to the anatomic area of the surgical field. There were three study groups; the first group received a standard intravenous regional anesthetic with lidocaine, the second received intravenous ketorolac systemically as a supplement to intravenous regional anesthesia, and the third had ketorolac added to the lidocaine used for intravenous regional anesthesia. The results showed significant reduction of tourniquet pain, postoperative pain, and need for analgesics when ketorolac was included with the intravenous lidocaine. This investigation has important implications for outpatients undergoing hand surgery.
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