A randomized blinded trial of preemptive local anesthesia in laparoscopy

Ke, Raymond W.; Portera, S.Gregory; Lincoln, Stephen R.

doi:10.1016/s1068-607x(98)00131-0

Cited by 18 publications

(19 citation statements)

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“…For instance, pre-emptive local anesthesia was shown in a randomized blinded trial to successfully lower pain levels 24 hours after laparoscopic surgery (9). Little has been reported to date regarding the use of pre-emptive analgesia for pain management during medical abortion (10).…”

mentioning

confidence: 99%

Pre-emptive effect of ibuprofen versus placebo on pain relief and success rates of medical abortion: a double-blind, randomized, controlled study

Avraham

Gat

Duvdevani

et al. 2012

Fertility and Sterility

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mentioning

confidence: 99%

Pre-emptive effect of ibuprofen versus placebo on pain relief and success rates of medical abortion: a double-blind, randomized, controlled study

Avraham

Gat

Duvdevani

et al. 2012

Fertility and Sterility

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“…Although controversial, pre-emptive use of local anesthetic before skin incision is commonly used in the context of multimodal analgesia for fast-track surgery [115][116][117][118][119][120][121][122].…”

Section: Local Anestheticsmentioning

confidence: 99%

Anesthetic and Adjunctive Drugs for Fast-Track Surgery

Baldini¹,

Carli²

2009

CDT

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With the changes in health care dictated by economic pressure, there has been a realization that hospital stay could be shortened without compromising quality of care. Advances in surgical technology and anesthetic drugs have made an impact in the way perioperative care is delivered with some emphasis on multidisciplinary approach. From the expansion of ambulatory care, lessons were learnt how to apply same concepts to major surgery with the understanding that interventions to attenuate the surgical stress would facilitate the return to "baseline". Beside minimal invasive approach to surgery, anesthesia interventions are arranged with the intent to decrease the negative effects of surgical stress and pain, to minimize the side effects of drugs and at the same time to facilitate the recuperation which follows after surgery. Fast-track or accelerated care encompasses many aspects of anesthesia care, not only preoperative preparation and prehabilitation, but intraoperative attenuation of surgical stress and postoperative rehabilitation. The anesthesiologist is part of this team with the specific mission to use medications and techniques which have the least side effects on organ functions, provide analgesia which in turn facilitates the intake of food and mobilization out of bed. This chapter has been conceived with the intention to direct the clinician towards procedure-specific protocols where the choice of medications and techniques is based on published evidence. The success of implementing fast-track depends more on dynamic harmony amongst the various participants (surgeons, anesthesiologists, nurses, nutrtionists, physiotherapists) than on reaching an optimum level of excellence at each separate organization level.

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“…Local lidocaine anesthesia administered with a syringe and needle remains an important and fundamental component of emergency therapy, but pain with lidocaine administration remains a significant patient complaint (1)(2)(3)(4)(5)(6)(7). Considerable attention has been directed to the proper syringe and needle technique during local anesthesia (8 -11).…”

Section: Introductionmentioning

confidence: 99%