This sllIdy ,\'{jj ili!signed 10 I/s~ess Ihl? olilcOllle of forearm lourniqllel ill comparison 10 liPPe' /" (/1111 tOllmiqllel dllrillg illtnll'ellOllS regiollal (llIesthesia (IVRA) fur hlllld slIrg('/)'. (lnd to evaluale the pO,I'"ihilit, oj tullleillg Ihf dos(' oj xvlocail1(' IIsed in cunjllliClio/i witIt for('(/rm /{)u/,lliquet, Tlli: sllltll' illelllded f}() fiilticllts 1I11t,coled illlo Ihree equllI grollps: GrollPS A lind B n:ceil'ed JIJ 1111 of (),7 % xvloclII/ie ,11th tOlmlii/lI;!t applied (d IIpper ({rm or (It jore([i"lII, respectively aMi Gruup C rcceived 20 /111 oru. 7,}';; XyIOt'liliiC wilh iOT('({rm lOlImiqlll?i. Alillimil/II tUlIl'Iliqllel lime was assigned to be 20 mi,lIIt(!s in g/'{jIlP A (1/1(18 (/iid at ill(' ('lid u/sllrglcIIIIJlOcedlln: ill grollp C. SlIrgical site ({lid tOllmiqllel (lain !Vere evalli{jfed 1I,I'III,!,/iJ/ir'/I:'inl l'ility of Ihe operalive )lelt! /lsillg Fml/llli/: s('aie lIild l.lostapel'lI;I Ve pall1 IIslIrg visllal (lnaloglle scale (VAS), DII/'alion ofpo,HupentliH' {//wlgc.Ha W,iS ('slilllll/nl starling Of lillie of 101Imiqllei deflatioll lill .Ii!".')1 reqllesled fo;' rescue alla/.p;esia, l'welll)1 pmieMs Iwd dllr(ltion o/slIrge/)' < 20 mil1//lI!.I, IIiJiVel 'C'r 101i/niqllef ('ollld be removed ol/Iy ill 8 pmielll'i ;n W I)IIP C Ti/,/(' 1111 1I1I,\'el Or,lii'gienl al/esthesin showed a I/on-siglll)lcant tlUlereTice betm'el/ the Ih,'ee ,1!;t'IJUpS rleseile /wi,I,I.; shorter in g,oup B, There was a significant redllction of intensity and /requeilc,l' of 1lIlIl'I1iqll('t plIill il1 grollps Band C in cUllipurisoll 10 group A. with a non-significanl decrease in grOllp B, Wetnes.l oj'lhl' ,I II rgicoIjidd was reported in unly J patienis wllhforearm lourniqllet but all surgeons l1'ere sllil.~fi(>d b,' rhe ('Xlellt 0/ jIll' surgical jiled dryness throlighoul the lime of surgery in all cases, 1VRA IIsillg /1111 dose III -,ylocaille i)l'Ol'irlf:d sig/lljiCiilltly (p