Carpal tunnel release (CTR) was historically performed in the operating theatre under regional or even general anaesthetic. The majority are now completed with local anaesthetic (LA) as a day case procedure . Performing CTR as simply as possible (i.e. in an outpatient setting) streamlines provision in-line with a global need to better utilise healthcare resources to match demand. Tourniquet use for CTR facilitates dissection; however, not only is this uncomfortable, it requires an assistant and equipment not necessarily available in minor operation rooms.
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