Wound infiltration with local anaesthetics in ambulatory surgery

作者: Anil Gupta

DOI: 10.1097/ACO.0B013E32833F0DD7

关键词: Pain managementMajor complicationBupivacaineAmbulatorySurgeryAnesthesiaWound infiltrationMedicineAdjuvantPain reliefAnalgesic

摘要: Purpose of review Wound infiltration analgesia using local anaesthetics has been used for several decades. Recently, newer techniques to prolong have developed, including the use catheters and injection or other adjuvants, large volumes injected into different tissue planes. The aim this is present current status wound in management postoperative pain highlight risks technique clinical practice. Recent findings Several studies shown beneficial effects anaesthetics, with without adjuvant drugs, pain. Specifically, via reduces pain, albeit a limited extent. planes during surgery also management. Single doses provide relief, but short duration effect can be limiting factor. There growing concern about some side-effects associated specifically toxicity when drugs are doses, chondrotoxicity bupivacaine intra-articularly higher concentrations over period finally, infection that retained situ. Summary Used correctly adequate multimodal analgesic regime major complications. It offers benefit providing at low cost as single injection.

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