[Infiltration anesthesia]. / Infiltrationsanästhesie.
Oper Orthop Traumatol
; 32(1): 4-12, 2020 Feb.
Article
em De
| MEDLINE
| ID: mdl-31612258
ABSTRACT
OBJECTIVE:
Complete anesthesia of any skin and soft tissue area by intradermal, subcutaneous, or intramuscular injections. INDICATIONS Small injuries or incisions in limbs or trunk, minor surgery on the face/jaw (e.g., on the teeth), or postoperative analgesia (local infiltration anesthesia, LIA). CONTRAINDICATIONS Local infections at the injection site. SURGICAL TECHNIQUE By means of intradermal, subcutaneous or intramuscular administration, a grandeur arises, here the local anesthetic blocks nerve transmission. If anesthetized distal to end arteries, vasoconstrictors (e.g., epinephrine) should be avoided. Proximal to end arteries, localized ischemia may facilitate operative care. POSTOPERATIVE MANAGEMENT The effect of local anesthesia is self-limiting.RESULTS:
By means of infiltration anesthesia or "field block", larger areas of skin are easily accessible for surgical treatment. The amount to be applied has to be adapted to the extent of the operation and the maximal dose. Postoperatively, after knee or hip arthroplasty, analgesia consumption can be reduced, and early mobilization promoted using LIA.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
/
Artroplastia do Joelho
/
Anestesia Local
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
De
Revista:
Oper Orthop Traumatol
Assunto da revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article