Ethyl Chloride Analgesia in Minor Surgery

BMJ ◽  
1934 ◽  
Vol 1 (3833) ◽  
pp. 1143-1143
Author(s):  
M. Amoils
Keyword(s):  
1965 ◽  
Vol 3 (13) ◽  
pp. 49-50

Local anaesthesia for minor surgery can be produced by reducing the skin temperature, but slight reduction of the skin temperature, insufficient to cause local anaesthesia, is also said to relieve pain and muscular spasm. For many years ethyl chloride sprays have been used for this purpose. The way in which skin cooling without local anaesthesia acts is not known. It seems to be related to the intensity of afferent stimulation,1 but changes in vascular tone, counterirritation and perhaps partial anaesthesia may be involved. The treatment may also have a psychological effect.


2016 ◽  
Vol 42 (3) ◽  
pp. 433-434 ◽  
Author(s):  
Aoibheann Flynn ◽  
Rupert Barry
Keyword(s):  

2020 ◽  
Vol 98 (Supplement_3) ◽  
pp. 4-4
Author(s):  
Abbie V Viscardi ◽  
Elizabeth Shirtcliff ◽  
Emily Eppler ◽  
Savannah Miller ◽  
Johann Coetzee

Abstract Piglets raised in commercial production systems in the U.S. undergo painful management procedures, including surgical castration, tail docking and ear notching, without analgesia or anesthesia provision for pain relief. This is a significant animal welfare concern. There is an immediate need to identify the most practical and effective analgesia or anesthesia option for use on-farm. The objective of this study was to assess the efficacy of 2.0mg/kg firocoxib, administered to the sow and delivered transmammary to her piglets, and a vapocoolant spray (ethyl chloride) to reduce processing pain. Five-day old male and female Yorkshire-cross piglets were used. 2.0mg/kg firocoxib was administered to the sow intramuscularly 7h prior to processing piglets. An ethyl chloride spray was applied to the ears, tail and scrotum of the piglets immediately before ear notching, tail docking and surgical castration, respectively. Piglets were assigned to one of four treatment groups: firocoxib and vapocoolant spray (FV; n=32), firocoxib only (F; n=32), vapocoolant spray only (V; n=32), no treatment (CON; n=32). The observation period was from 24h pre- to 48h post-processing (specific time points = baseline, 0h, 1h, 2h, 4h, 7h, 24h, 30h, 36h, 48h). Preliminary results found piglets displayed significantly more pain-related behaviors at 24h and 30h post-processing than at most other time points (p< 0.05). Piglets had significantly higher cranial temperatures at 7h post-processing than all other time points (p< 0.05). There was a trend in FV and F piglets having a higher cranial temperature at 36h post-processing compared to V and CON piglets (p=0.08). All piglets had significantly higher hair cortisol levels at 4 vs 20-days old (p< .0001); however, there were no significant treatment effects on cranial temperature, hair cortisol or pain behavior, suggesting firocoxib and the ethyl chloride spray were unable to significantly reduce piglet pain post-processing. Further study analysis is needed to confirm these initial findings.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
H Harris ◽  
T Antonio ◽  
A Hagiga ◽  
D Crone

Abstract Background NICE recommends that patients undergoing intermediate or minor elective surgery do not need routine coagulation or transfusion blood testing unless they are ASA 3+ or taking anticoagulation mediation, where testing may be considered. Currently there is no guidance for trauma patients. Method We identified all patients that underwent intermediate or minor trauma and orthopaedic surgery within a three-month period from December 2019- February 2020 at the RSCH. We excluded major trauma patients, patients taking anticoagulants and patients with complex admission or past medical history. Computer records were used to identify pre-operative investigations and admission history. Results 843 patients met our inclusion criteria. In total, 92 clotting studies and 200 transfusion samples were taken preoperatively. The majority of tests were for patients undergoing ankle 130/292 (45%) or Tibia/Fibula 54/292 (18%) procedures. This equates to approximately 1168 blood tests per year. Based on the lab cost of £15.97 for a transfusion sample and £18 for a coagulation sample, this is a cost of approximately £19,616 each year on blood testing that is not indicated. Discussion We hope that by presenting these results we will help reduce the unnecessary time and financial burden of routine venipuncture in departments undertaking intermediate and minor surgery.


1979 ◽  
Author(s):  
C.N. McCollum

Intravascular platelet aggregates (IPA) have as yet avoided detection in shocked patients hence their role in the aetiology of “shock lung” remains controversial. Screen filtration pressure (SFP) has only been shown to measure aggregates in vitro.A modified screen filtration technique was evaluated in 43 surgical patients. The characteristics (height,slope) of the pressure wave were compared with the number of aggregates seen to occlude filter pores on scanning electron microscopy (SEM). In 80 estimations on femoral vein blood the slope of the SFP curve was utilised improving SFP/ SEM correlation to r= .93. These aggregates arise in vivo as they were rarely detected in blood from the arm and IPA levels in femoral blood were not influenced by EDTA priming of the syringe. In 36 preoperative estimations mean SFP slope was identical to that in 14 patients after minor surgery (1.5 ± SD 1.6). After major surgery in 29 patients this value was elevated at 7.1 ± 6.1 (P<.001). Seventeen of these patients with SFP slope greater than 5 suffered a mean fall in arterial P2 at 5 days post operation of 1.85 KPa (13.9 mm Hg) which was significantly greater than that in the other major cases (0.85 KPa, 6.4 mm Hg)(P <.05). SFP also correlated closely with the fall in platelet count on day 1 post operation (r= .82, P< .001).Intravascular platelet aggregates arise in the veins of the lower limb immediately after major surgery. They can be measured by the screen filtration technique described and may be related to pulmonary dysfunction.


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