scholarly journals Local infiltration anesthesia by the creeping infiltrate method

2020 ◽  
Vol 26 (5-6) ◽  
pp. 569-577
Author(s):  
А. А. Vishnevsky
Keyword(s):  
Pain Relief ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Local Infiltration ◽  
Different Types ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

In modern surgery, there are a large number of different types of general anesthesia and local anesthesia. This most clearly indicates that there is still no such method of pain relief that could be completely satisfied.

scholarly journals Local Anesthesia for Port Catheter Placement in Oncology Patients: An Alternative to Landmark Technique Using Ultrasound-Guided Superficial Cervical Plexus Block—A Prospective Randomized Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Hakan Akelma ◽  
Fikret Salık ◽  
Mustafa Bıçak ◽  
Meral Erdal Erbatur
Keyword(s):  
Local Anesthesia ◽  
Port Catheter ◽  
Cervical Plexus ◽  
Local Infiltration ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Local Infiltration Anesthesia ◽  
Plexus Block ◽  
Infiltration Anesthesia ◽  
Landmark Technique

Background/Objectives. Most patients that require port operation have experienced severe pain due to multiple surgeries in the past. Therefore, these patients have fear of pain before the procedure. This study aims to compare superficial cervical plexus block (SCPB) with local infiltration anesthesia in terms of comfort. Methods. 100 cancer-diagnosed patients were divided into two groups. The first group, the landmark technique with local infiltration anesthesia, was used for intravenous entry (Group LM, n = 50). The second group, USG, was used for venous entry with SCPB as anesthesia (Group US, n = 50). The type of local anesthesia, port placement technique, duration of the procedure, number of procedures, complications, visual analog scale (VAS) score, and surgeon’s satisfaction with the procedure were recorded. Results. It was established that an average of 1.7 and 1.1 attempts was conducted in Groups LM and US, respectively (P = 0.010). VAS scores were found to be 4.04 in Group LM and 2.62 in GroupUS (P = 0.001). Surgeon satisfaction was 1.96 in GroupLM and 2.38 in GroupUS (P = 0.014). The mean duration of the procedure was 22.10 minutes in GroupLM and 43.50 minutes in GroupUS (P = 0.001). Complication rates were observed in 1 patient in GroupLM and 9 patient in GroupUS (P = 0.040). Conclusions. In the patient group with a high level of pain and anxiety port catheter placement using USG and SCPB, supported by routine sedation, provides better comfort for both patient and surgeon.

scholarly journals Efficacy of different concentrations of lidocaine and association of vasoconstrictor in local infiltration anesthesia in adults

2021 ◽  
Author(s):  
Lury Bueno Wako Kitahara ◽  
Vanessa Paula da Silva ◽  
Gabriel Peres ◽  
Hélio Amante Miot ◽  
Juliano Vilaverde Schmitt
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

scholarly journals Local infiltration anesthesia in tenolysis surgery

2017 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Gokce Yildiran ◽  
Osman Akdag ◽  
Mehtap Karamese ◽  
Zekeriya Tosun
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

scholarly journals Tumescent local anesthesia as an alternative to general anesthesia in release of post-burn neck contracture and skin graft harvesting: A comparative study

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Mukesh Kumar Prasad ◽  
Payal Jain ◽  
Rohit Kumar Varshney ◽  
Aditi Khare ◽  
Gurdeep Singh Jheetay
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Blood Loss ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Skin Graft ◽  
Tumescent Local Anesthesia ◽  
Graft Harvest ◽  
Contracture Release ◽  
Split Skin

Background: Anesthetic management of severe post burn neck contracture is difficult, demanding due to fixed flexion deformity of neck, incomplete oral occlusion and insufficient mouth opening leading to difficulty in intubation. Patients undergoing contracture release, skin graft harvest under general anesthesia (GA) were compared with patients undergoing the same surgery under tumescent local anesthesia (TLA) technique. Methodology: Twenty-one patients with post burn neck contracture undergoing contracture release with split skin grafting under GA were compared with twenty-one patients undergoing the same surgery under TLA. Post-operative pain and satisfaction were assessed using 10 cm VAS (Visual Analogue Scale).  Results: Demographic profile was comparable in both groups. Changes in intra-operative vital parameters remained insignificant. The average volume of tumescent solution used was 254.76 + 49.05ml. Blood loss was significantly decreased, postoperative pain relief was more than sixteen hours in thirteen patients and extended beyond twenty-four hours in six patients in the TLA group. Time for the first rescue analgesia was significantly lesser in the GA group and the average dose of injection tramadol used in the GA group was significantly higher within the first 24 h. Overall satisfaction in the TLA group was significantly higher than in the GA group. Conclusion: TLA can be used as sole technique for release of post burn neck contracture and harvest of split skin grafts with less blood loss and significantly better postoperative pain relief avoiding complications of general anesthesia. Key words: Tumescent local anesthesia; Post burn neck contracture; Skin graft harvest; General anesthesia Citation: Prasad MK, Jain P, Varshney RK, Khare A, Jheetay GS. Tumescent local anesthesia as an alternative to general anesthesia in the release of post-burn neck contracture and skin graft harvesting: A comparative study. Anaesth. Pain intensive care 2021;25(1):34–39. DOI: 10.35975/apic.v25i1.1434 Received: 18 February 2020, Reviewed: 16 March 2020, Accepted: 30 April 2020

Local infiltration anesthesia during operations to remove fibroids from the base of the skull

1930 ◽  
Vol 26 (3) ◽  
pp. 278-280
Author(s):  
I. V. Domrachev
Keyword(s):  
Carotid Arteries ◽  
Severe Bleeding ◽  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Base Of The Skull ◽  
Infiltration Anesthesia

Tumors of the nasopharyngeal space (fibroids of the base of the skull) are still considered complex and difficult due to their position, the lack of pathways for access to them and severe bleeding during their removal. A number of methods have been proposed for deleting them with preliminary operations for accessing them. In this message I will not go into consideration and evaluation of all these methods, because they are well known. I will only point out that in the fight against bleeding, surgeons did not stop even before such a heroic measure as ligation of the carotid arteries. In addition to preliminary methods for stopping bleeding, some authors offer various methods for stopping bleeding at the time of the operation itself after cutting off the leg. Prof. Razumovsky simply suggests pressing the bleeding place with a finger, prof. Nikolsky recommends autotamponade of the tumor itself, etc. This shows how difficult it is to fight bleeding at the time of the operation itself.

About postoperative acidosis with local infiltration anesthesia

1930 ◽  
Vol 26 (1) ◽  
pp. 47-52
Author(s):  
V. I. Pshenichnikov ◽  
P. S. Krestnikov
Keyword(s):  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Infiltration Anesthesia

Recently, there have appeared many works devoted to the postoperative disturbance of the alkaline-acid balance of the organism, denoted by acidosis. The authors put this condition in dependence on a number of reasons and, among other things, on the method of anesthesia.

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