Ropivacaine versus lidocaine infiltration for postpartum perineal pain: A systematic review and meta-analysis

The Effects of Periarticular Injection Cocktail in Postoperative Analgesia after Bilateral Unicompartmental Knee Arthroplasty

“…In this study, ropivacaine was used as a local anesthetic, mainly on the basis of ropivacaine's advantages of sensory and motor nerve separation and less influence on postoperative movement, and compared with other local anesthetics, ropivacaine also has advantages of low cardiac and central toxicity and long acting time [20]. A series of studies have shown that its analgesic effect in ophthalmic surgery, dental surgery, and obstetrical and gynecological surgery is superior to that of other anesthetic drugs [21][22][23][24]. Ketorolac is a nonsteroidal anti-inflammatory and analgesic drug that can exert analgesic effects by inhibiting the production of inflammatory pain-causing transmitters.…”

Pudendal nerve block versus usual lidocaine infiltration for pain relief in episiotomy repair: a comparative prospective study

“…Arslan and al. reported significantly lower pain during the suture in pudendal group (mean VAS = 2.70 +/-2.50) than in infiltration group (mean VAS = 4.76 +/-1.97) using the same dose of prilocaine in each group [9].In 2021, a meta-analysis showed similar analgesic effects of lidocaine and ropivacaine during episiotomy repair after performing a local anesthetic infiltration [26].Those trials concluded to the superiority of the PNB compared to local wound infiltration in term of analgesic efficacy at suturing regardless of the used LA which was comparable to the findings of our study.…”

“…Lidocaine is the only LA that can be intravenously administered, plenty of studies have proven its fast onset, short duration, low cost and safety [25][26][27]. Lidocaine perineal infiltration in the presence or not of epidural catheter is the most widely adopted protocol for pain management in episiotomy repair [26].We tried to compare it like it is to a current technique with a recommended LA and used by the majority of authors, ropivacaïne. It is characterized by a longer duration of action and a lower cardiotoxicity than other long-acting local anesthetics [28] and point to a potential superiority in the context of multimodal analgesia.…”