Local Anaesthetic Flush Reduces Postoperative Pain and Haematoma Formation After Great Saphenous Vein Stripping—A Randomised Controlled Trial

Abstract

Flushing of the GSV tunnel with bupivacaine plus adrenaline significantly reduces postoperative pain and haematoma formation in patients undergoing GSV stripping for varicose veins.

Local infiltration of epinephrine-containing lidocaine with bicarbonate reduces superficial bleeding and pain during labor epidural catheter insertion: a randomized trial

“…Our findings are consistent with data obtained in the surgical setting, where less surgical site bleeding has been reported with epinephrine-containing local anesthetic solutions. [1][2][3][4][5][6] We found that epinephrine-containing solutions did not result in more painful skin infiltration. Because epinephrine is unstable, premixed local anesthetic solutions with epinephrine are acidified to a pH of 4.15 in order to promote stability and solubility.…”

“…Previous studies in surgical settings used similar subjective assessments to study the effect of epinephrine-containing local anesthetic solutions on perioperative bleeding from surgical wound sites. [1][2][3][4][5][6] In conclusion, local infiltration of epinephrine-containing lidocaine before labor epidural catheter insertion results in less superficial bleeding compared to plain lidocaine solutions. The addition of bicarbonate to lidocaine results in a modest reduction in pain on local anesthetic infiltration.…”

“…In a number of surgical settings, epinephrine-containing local anesthetic solutions reduce perioperative bleeding from surgical wound sites. [1][2][3][4][5][6] No previous study has determined whether adding epinephrine to the lidocaine used for local infiltration reduces the amount of superficial bleeding at the site of epidural needle insertion. The primary objective of this study therefore was to determine if epinephrinecontaining lidocaine reduces superficial bleeding at the epidural insertion site.…”

Use of a Small Fragment Depth Gauge as a Probe in Wrist Arthroscopy

“…Stripping of the long saphenous vein from groin to the kneec an sometimes be incomplete. 1 If al ong, strong ligature is used to attach thevein to thestripper it canbecontrolled at bothwounds after passing thes tripper.T ie the ligature onto al engtho fr ibbon gauze and pull this downt hrought he saphenous tunnel to exit at the kneewound. This gauze frequently brings thesaphenousvein remnantw ith it (Fig.…”

Möglichkeiten der lokalen und systemischen Blutstillung bei chirurgischen Eingriffen

“…In einer vergleichenden Serie von ausgedehnten Wundexzisionen bei brandverletzten Kindern konnte kein Vorteil der Anwendung von topischer und subkutaner Adrenalingabe im Hinblick auf den Blutverlust nachgewiesen werden [2]. In einer jüngst publizierten randomisierten Doppelblindstudie (n=100) wiederum konnte ein positiver Effekt der lokalen Applikation eines Gemischs aus Bupivacain und Adrenalin im Hinblick auf Hämatombil-dung nach Varizenstripping nachgewiesen werden [22]. [9].…”