Low concentrations of lidocaine for inguinal hernia repair under local infiltration anaesthesia

Song, Yinghan; Han, Bing; Lei, Wenhua; Kou, Yingli; Yang, Lehe; Gong, Yanping; Ma, Dongyang

doi:10.1177/0300060513476586

Cited by 6 publications

(2 citation statements)

References 30 publications

(44 reference statements)

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“…Pre-incisional single-shot WI using different lidocaine concentrations (0.25%, 0.33% and 0.5%) or bupivacaine (0.25%) were not significantly different with regards to intraoperative pain scores, patient satisfaction, analgesic consumption or incidence of adverse events compared to placebo [144,147]. Levobupivacaine and racemic bupivacaine as single shot WI showed similar analgesic efficacy [148].…”

Section: Inguinal Herniorrhaphymentioning

confidence: 91%

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Stamenković

Bezmarević

Bojić

et al. 2021

JCM

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Local anesthetic wound infiltration (WI) provides anesthesia for minor surgical procedures and improves postoperative analgesia as part of multimodal analgesia after general or regional anesthesia. Although pre-incisional block is preferable, in practice WI is usually done at the end of surgery. WI performed as a continuous modality reduces analgesics, prolongs the duration of analgesia, and enhances the patient’s mobilization in some cases. WI benefits are documented in open abdominal surgeries (Caesarean section, colorectal surgery, abdominal hysterectomy, herniorrhaphy), laparoscopic cholecystectomy, oncological breast surgeries, laminectomy, hallux valgus surgery, and radical prostatectomy. Surgical site infiltration requires knowledge of anatomy and the pain origin for a procedure, systematic extensive infiltration of local anesthetic in various tissue planes under direct visualization before wound closure or subcutaneously along the incision. Because the incidence of local anesthetic systemic toxicity is 11% after subcutaneous WI, appropriate local anesthetic dosing is crucial. The risk of wound infection is related to the infection incidence after each particular surgery. For WI to fully meet patient and physician expectations, mastery of the technique, patient education, appropriate local anesthetic dosing and management of the surgical wound with “aseptic, non-touch” technique are needed.

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Section: Inguinal Herniorrhaphymentioning

confidence: 91%

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Stamenković

Bezmarević

Bojić

et al. 2021

JCM

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“…Post-operative shivering can have significant physiological effects, including increased cardiac output, oxygen consumption, CO2 production, blood pressure, circulating catecholamines, intracranial and intraocular pressures, wound suture opening, wound infections, hospitalization time, ventilation of the lung, ocular pressure and surgical site elongation. These consequences result in increased patient pain, compromised monitoring accuracy (especially with pulse oximeters), and in rare cases, hypoxia and delayed awakening [ 2 - 4 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Examining the efficacy of intravenous ibuprofen and meperidine for preventing post-operative shivering after laparoscopic cholecystectomy with general anesthesia

Isazadehfar,

Akhavanakbari,

Entezariasl

et al. 2023

JMedLife

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Postoperative shivering is a common complication that can lead to increased postoperative complications. This study aimed to compare the effectiveness of intravenous ibuprofen and meperidine in preventing shivering following laparoscopic cholecystectomy. A total of 120 patients, aged 20-70 and classified as ASA I–II, were enrolled in this triple-blind clinical trial. The participants were randomly assigned to one of three groups: ibuprofen (800mg IV), meperidine (30 mg), or placebo (normal saline 2 ml), administered 30 minutes before the end of surgery. The occurrence of postoperative shivering was assessed and recorded at regular intervals (0, 5, 10, 15, 30, and 60 minutes after surgery). Additionally, postoperative pain levels were measured using a visual analog scale (VAS), sedation levels were evaluated using the Ramsay Sedation Scale (RSS), and the incidence of postoperative nausea and vomiting was documented. The prevalence and severity of postoperative shivering were not statistically significant between groups. The VAS was significantly lower in the meperidine group than the ibuprofen group throughout the study (p <0.001). The VAS was significantly lower in the ibuprofen group than the placebo group at 0 and 15 minutes after surgery. Although the incidence of nausea was slightly higher in the meperidine group, the difference was not statistically significant (p=0.75). Sedation scores were consistently lower in the ibuprofen group and higher in the meperidine group compared to the other groups (p<0.0001) The meperidine group had a significantly higher sedation score indicative of deep sleepiness (score of 4) than the other groups. Intravenous ibuprofen demonstrated comparable efficacy to meperidine in controlling shivering. Additionally, the incidence of nausea, vomiting, and sleepiness was lower in the intravenous ibuprofen group, suggesting it is a potential alternative to meperidine.

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Long-term results of femoral hernia repair with ULTRAPRO Plug

Song

et al. 2015

Journal of Surgical Research

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Low concentrations of lidocaine for inguinal hernia repair under local infiltration anaesthesia

Abstract: The mean dose of lidocaine consumed in group A was significantly lower but exerted similar efficacy to that in the other groups, and may lead to a lower risk of local anaesthetic toxicity.

Cited by 6 publications

References 30 publications

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Examining the efficacy of intravenous ibuprofen and meperidine for preventing post-operative shivering after laparoscopic cholecystectomy with general anesthesia

Long-term results of femoral hernia repair with ULTRAPRO Plug

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