Gavriely N, August 2012.
Carpal Tunnel Release (CTR) is one of the most common surgical procedures performed in the US. A key to a successful outcome of the procedure is good visibility. This is achieved by assuring a bloodless surgical field by applying an arterial tourniquet, or infiltrating the incision site with local anesthetics mixed with adrenalin. This paper describes the use of a sterile forearm elastic exsanguination tourniquet (FA-SET) as an alternative to the upper arm pneumatic cuff. The FA-SET is the superior choice in our view. It provides a sterile field, superior exsanguination and effective arterial blocking. The use of FA-SET should be the standard of care in small hand procedures and in particular when carpal tunnel release is performed.