Aim: Intravenous regional anesthesia (RIVA) is a simple and common procedure to provide anesthesia and muscle relaxion for hand surgery. The problem occurs during RIVA is pain because of the tourniquet . This pain may prevented with double – tourniquet system RIVA. We investigated effect of clonidine added to RIVA local anesthetics and ring anestesia performed to tourniquet area for tourniquet pain.

Material and methods: Thirty-six patients scheduled for elective hand surgery, ASAI-II groups aged between 20 and 50 were assigned randomly and blindly to three groups. Patients didn’t receive premedication. The first group were received 40 ml 0,5% lidokain, ring anesthesia was performed with 40 ml 0.5% lidocain and 10 ml 1% lidocain in the second group. The third group were received 40 ml 0.5% lidocain and 150µg clonidine.

Results: There was no significant differences between two groups according to tourniquet pain and pain in the surgery plains before and after tourniguet deflation (p>0.05). Motor block was not seen in any patient. Significant difference was not observed between two groups among the Ramsay’s sedation scor.

Conclusion: Adequate analgesia was provided for all patients. There was no difference according to the tolerance for tourniquet pain between ring anesthesia and addition of clonidine to RIVA solution.