Intra-articular injection of warmed lidocaine improves intraoperative anaesthetic and postoperative analgesic conditions

Arai, Y.-C. P.; Ikeuchi, Masahiko; Fukunaga, K.; Ueda, Wasa; Kimura, Tetsunori; Komatsu, Toru

doi:10.1093/bja/aei292

Cited by 12 publications

(9 citation statements)

References 10 publications

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“…In humans undergoing arthroscopy, the relief of pain using intra-articular (IA) administration of  2 -agonists, opioids and local anaesthetics has been highly successful (Joshi et al, 2000;Elhakim et al, 1999). In particular, there are reports in the literature that effective analgesia follows an IA administration of lidocaine (Dahl et al, 1990;Arai et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Intra-articular administration of lidocaine plus adrenaline in dogs: Pharmacokinetic profile and evaluation of toxicity in vivo and in vitro

Salvo

Chiaradia

Rocca

et al. 2016

The Veterinary Journal

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Highlights The potential for cardio-, neuro-and chondro-toxicity of intra-articular administration of lidocaine plus adrenaline was evaluated in dogs undergoing arthroscopy  The treatment was not found to cause adverse effects on the cardiovascular system.  The plasma concentrations of lidocaine did not reach neurotoxic concentrations.  Toxic effects of lidocaine on chondrocytes appeared to be reduced by adrenaline. AbstractThe aim of this study was to evaluate the safety of intra-articular (

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Section: Introductionmentioning

confidence: 99%

Intra-articular administration of lidocaine plus adrenaline in dogs: Pharmacokinetic profile and evaluation of toxicity in vivo and in vitro

Salvo

Chiaradia

Rocca

et al. 2016

The Veterinary Journal

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“…Local anesthesia combined with propofol in the form of continuous infusion was found to provide excellent analgesia, although in isolation, it possibly would not provide a comfortable experience for patients, or ideal conditions for the surgery (10) . Accompanied by sedation, local anesthesia allowed arthroscopy to be performed without discomfort (14) , and the sedation was responsible for the absence of perception of pain (3) . Use of local anesthesia alone has been advocated in the literature, but many of these studies recommended that it should only be used in diagnostic procedures 2 , 6 .…”

Section: Discussionmentioning

confidence: 99%

“…We also assessed the pain reported on the first day after the operation. For this, we used a VAS, a method that has been widely used in the literature 14 , 15 , 16 , 17 . Our study demonstrated that the amount of pain at this time was similar in the two groups, without any statistical difference, thus showing that the efficacy of postoperative analgesia with local anesthesia using propofol is equivalent to analgesia achieved through spinal block.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Spinal and Local Anesthesia With Propofol Infusion for Knee Arthroscopy

Silva

Matos

Madureira

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Spinal anesthesia for knee arthroscopy is a well-documented and safe procedure. However, some complications and higher costs have been reported. Also, many orthopaedic surgeons are reluctant to use local anesthesia for fear of having to convert to general anesthesia due to inadequate pain control. The purpose of this study is to compare local with spinal anesthesia in two groups of patients submitted to knee arthroscopy. Sixty-five patients were divided in two groups; based on the anesthesia method used, and submitted to the same surgical routine and postoperative analgesia protocol. They were evaluated for analgesia, level of postoperative pain, and level of satisfaction with the type of anesthetic. The two groups did not present any significant differences in relation to perioperative analgesia and pain on the first postoperative day, neither was there any difference in relation to emotional state. However, there was a significant difference in terms of acceptance of the procedure; 100% said they would accept the procedure again in the local anesthesia group, compared with 60.5% in the spinal anesthesia group; also, 100% in the local anesthesia group said they felt encouraged by the type of anesthesia, compared with 67.7% in the spinal anesthesia group. We can conclude that local anesthesia is similar to spinal anesthesia in almost all the aspects investigated, except in terms of acceptance and patients’ level of satisfaction with the procedure. Local anesthesia can be a good alternative to spinal anesthesia, especially in outpatient departments, or when patients have restrictions to traditional models of anesthesia.

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“…Accompanied by sedation, local anesthesia allowed arthroscopy to be performed without discomfort (14) , and the sedation was responsible for the absence of perception of pain (3) . Use of local anesthesia alone has been advocated in the literature, but many of these studies recommended that it should only be used in diagnostic procedures (2,6).…”

Section: Discussionmentioning

confidence: 99%

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

Silva¹,

Matos²,

Madureira³

et al. 2012

Rev. bras. ortop.

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Intra-articular injection of warmed lidocaine improves intraoperative anaesthetic and postoperative analgesic conditions

Abstract: Warmed lidocaine injected intra-articularly provides improved intraoperative anaesthetic and postoperative analgesic conditions for patients undergoing knee arthroscopy.

Cited by 12 publications

References 10 publications

Intra-articular administration of lidocaine plus adrenaline in dogs: Pharmacokinetic profile and evaluation of toxicity in vivo and in vitro

Intra-articular administration of lidocaine plus adrenaline in dogs: Pharmacokinetic profile and evaluation of toxicity in vivo and in vitro

Comparative Study of Spinal and Local Anesthesia With Propofol Infusion for Knee Arthroscopy

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

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