Local Anaesthetic Infusion for Postoperative Pain

2003 ◽  
Vol 28 (4) ◽  
pp. 300-306 ◽  
Author(s):  
M. KULKARNI ◽  
D. ELLIOT
Keyword(s):  
Postoperative Pain ◽  
Nerve Block ◽  
Local Anaesthetic ◽  
Insertion Site ◽  
Hand Surgery ◽  
Technical Failure ◽  
Oral Antibiotics ◽  
Post Operative Pain ◽  
Infusion System

The role of continuous bupivacaine infusion either into the wound or as a local nerve block, following hand surgery was investigated in 100 patients. After excluding six patients with complex pain problems in whom neither the bupivacaine infusion nor any other conventional analgesic techniques provided adequate analgesia post-operatively, 86 of 94 (91%) patients were adequately treated for post-operative pain by this system during the first night after surgery, when pain is presumed to be greatest. This system also provided adequate on-going analgesia for up to 1 week after surgery controlling nerve pain and allowing mobilization of tendons after tenolysis. Continuous bupivacaine infusion is of particular use in these two groups of patients and after major hand injuries, when considerable pain can be anticipated. Pain during the first night was not controlled adequately by the bupivacaine infusion system in eight of the 94 patients (8%). All eight had a technical failure of the system, which was rectified in six cases to restore adequate analgesia by the infusion system. Two patients developed infection at the infusion cannula insertion site, which occurred only after 1 week and was successfully treated by removal of the cannula and oral antibiotics.

Role of local anaesthetic nerve block in endoscopic sinus surgery: A systematic review and meta-analysis

2018 ◽  
Vol 43 (5) ◽  
pp. 1201-1208 ◽  
Author(s):  
E. Shamil ◽  
M.J. Rouhani ◽  
S. Basetti ◽  
F. Bast ◽  
C. Hopkins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nerve Block ◽  
Local Anaesthetic ◽  
Endoscopic Sinus Surgery ◽  
Meta Analysis ◽  
Sinus Surgery

The Role of the Musculocutaneous and Radial Nerves in Elbow Flexion and Forearm Supination: A Biomechanical Study

2008 ◽  
Vol 33 (2) ◽  
pp. 201-204 ◽  
Author(s):  
S. ROUKOZ ◽  
N. NACCACHE ◽  
G. SLEILATY
Keyword(s):  
Nerve Block ◽  
Tendon Rupture ◽  
Biceps Tendon ◽  
Hand Surgery ◽  
Elbow Flexion ◽  
Biomechanical Study ◽  
Biceps Tendon Rupture ◽  
Before And After ◽  
Flexion Force

The intention of this prospective study was to evaluate the role of the musculocutaneous and radial nerves in elbow flexion and forearm supination. The study included 29 patients having loco-regional anaesthesia for minor hand surgery. Elbow flexion and forearm supination forces were evaluated before and after an isolated musculocutaneous nerve block in one group and an isolated radial nerve block in another group. The results showed that the biceps tendon is responsible for 47% of the forearm supination force and the combination of brachioradialis and the supinator for 64% of this force. It showed also that the musculocutaneous and radial nerves contribute by 42% and 27.5%, respectively, to the flexion force of the elbow. These results are intended to help surgeons in decision making when treating chronic biceps tendon rupture, in repair of traumatic brachial plexus neuropathy and in using tendon transfers, such as the Steindler transfer, around the elbow.

scholarly journals Role of local anaesthetic nerve block in patients undergoing endonasal surgery – our experience of 48 patients

2018 ◽  
Vol 1 (1) ◽  
pp. 90-93
Author(s):  
E. Shamil ◽  
E. Casselden ◽  
F. Bast ◽  
W. Whiteley ◽  
C. Hopkins ◽  
...  
Keyword(s):  
Nerve Block ◽  
Local Anaesthetic ◽  
Endonasal Surgery

Pre-emptive Analgesia for Postoperative Pain Relief in Children – Role of Paracetamol

2009 ◽  
pp. 9-16
Author(s):  
Rubina Yasmin ◽  
AKM Akhtaruzzaman ◽  
Paresh Chandra Sarker ◽  
Neaz Ahmed ◽  
Ranadhir Kumar Kundu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Postoperative Pain ◽  
Diclofenac Sodium ◽  
Total Duration ◽  
Pain Scale ◽  
Prospective Clinical Study ◽  
High Dose ◽  
Induction Of Anaesthesia

This prospective clinical study was carried out in the Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka, during the period of May 2003 to July 2003. The study was done to emphasize the importance of giving analgesics preemptively instead of waiting for the child to complain of pain and to produce smooth recovery after surgery by decreasing immediate postoperative pain in children by a simple, safe acceptable drug. The children scheduled for tonsillectomy under general anaesthesia were recruited in this study. The analgesic efficiency of rectal paracetamol in two doses, 25 mg/kg bodywt.(Gr-P25) and 50 mg/kg. bodywt. (Gr-P50) were compared with Diclofenac Sodium suppository 1mg/ kg body weight (Gr-D) given half an hour before induction of anaesthesia. Pain scoring was done by TPPPS (Toddler Pre-schooler postoperative pain scale). Heart rate and blood pressure were stable in Gr-P50 and Gr-D. Time of first demand of analgesic was delayed in Gr-P50 and Gr-D. Total paracetamol consumption in 24 hours was less in Gr-P50(181±14.25) and Gr-D (212±25) than Gr-P25(318± 26.39). Total duration of analgesia in Gr- P50 (657±9.94) mins. and in Gr- D(502±10.63) mins. and in Gr-P25(288±23.17) mins. Pre-emptive high dose rectal paracetamol appears to be more effective than diclofenac sodium suppository for postoperative analgesia in children undergoing tonsillectomy. Journal of BSA, Vol. 18, No. 1 & 2, 2005 p.9-16

Sign in / Sign up

Export Citation Format

Share Document